ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional) SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: CASE NUMBER: RESPONDENT/DEFENDANT: Request for Trial Counter Request REQUEST FOR TRIAL (Family Law) Dissolution Nullity Legal Separation Parentage Termination of Parental Rights Other Family Law: ___________________________________________________________________________________________ 1. 2. How long will your trial take (estimate)? ________________________________________ Hours/Days (circle one) Check the Issues on which you and the other party disagree or need orders: Child Support Child Custody Spousal Support Arrearages Property Characterization Property Valuation Property Valuation Date Property Division Date of Separation Reimbursement Attorney's Fees & Costs Other: __________________________________ Discovery (getting information about/from the other party) that still needs to be done: Has discovery been finished? Yes No Not required/requested in this case Interrogatories Depositions Document Production If no, what discovery still needs to be done? How long do you think it will take both parties to finish discovery: ______________________________________________ ____________________________________________________________________________________________________ Mandatory Declarations of Disclosure (Dissolution, Legal Separation and Nullity cases only): Petitioner has served Respondent with Preliminary Final Declarations of Disclosure Respondent has served Petitioner with Preliminary Final Declarations of Disclosure If financial disclosures have not been exchanged/served, do you need a deadline? Yes No Have you and the other party and/or your attorneys met to discuss settlement? I request this matter be set for ADR Mediation I request my settlement conference be scheduled before a Temporary Judge I request my settlement conference be scheduled at the Ten Mile Branch Yes No 3. 4. 5. 6. Judge of this Court. Ukiah Courthouse Yes No 7. Is the Department of Child Support Services involved on the issue of child support? If yes, which county? ________________ FSB Number: ____________________ Court case number (if different from this case): _______________ 8. I am not available on the following dates (specify dates and reason for unavailability): ______________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ (See attached for further) _________________________________________________________ Attorney Petitioner Respondent Other American LegalNet, Inc. www.FormsWorkFlow.com Date: ____________________________ MFL-143 (rev 0110)