CI-136 ATTORNEY OR PARTY WITHOUT ATTORNEY NAME: FIRM NAME: ADDRESS: CITY: E-MAIL ADDRESS (OPTIONAL): ATTORNEY FOR (NAME): STATE: ZIP CODE: TELEPHONE NO: FAX NO. (OPTIONAL): STATE BAR NO: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MONTEREY Monterey Division 1200 Aguajito Road Monterey, California 93940 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: STATUS CONFERENCE QUESTIONNAIRE Dissolution Nullity Legal Separation Parentage Domestic Partnership Other Family Law CASE NUMBER: DATE OF CONFERENCE: This form must be filed and served on the other party at least 30 days prior to the conference date. Please do your best answering these questions. This helps the judge to understand your situation when you come to court. If you need more space, you may attach a separate page. 1. PROOF OF SERVICE OF SUMMONS Proof of Service was filed on: The Respondent was served on: If you have not served the Summons and Petition, please explain: 2. CHILD CUSTODY AND VISITATION We do not have minor children We do have an agreement We agree as follows: 3. CHILD SUPPORT We do not have minor children We do have an agreement We agree as follows: The Department of Child Support Services is is not collecting support in the County of , case number Form Approved for Mandatory Use CI-136 New. Oct, 2015 STATUS CONFERENCE QUESTIONNAIRE (FAMILY) Monterey County Superior Court American LegalNet, Inc. www.FormsWorkFlow.com CI-136 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: DIVORCE CASES ONLY 4. DISCLOSURES My Declaration Regarding Service of Preliminary Declaration of Disclosure was filed on: If you have not served your Preliminary Declaration of Disclosure, please explain: 5. SPOUSAL SUPPORT Spousal support not requested We do not have an agreement We agree as follows: 6. PROPERTY/DEBT We do not have property or debts We do not have an agreement We agree as follows: 7. ATTORNEY'S FEES AND COSTS Attorney's fees/costs not requested We do not have an agreement We agree as follows: 8. DISCOVERY Do you still need information from the other party? If yes, please specify what information you still need: 9. ALTERNATIVE DISPUTE RESOLUTION/MEDIATION Have you and the other party participated in alternative dispute resolution such as mediation, collaboration, arbitration, or neutral case evaluation? Yes No If yes, please explain: 10. OTHER ISSUES Please describe: Yes No Date: SIGNATURE OF DECLARANT OR ATTORNEY PRINT NAME Form Approved for Mandatory Use CI-136 New. Oct, 2015 STATUS CONFERENCE QUESTIONNAIRE (FAMILY) Monterey County Superior Court American LegalNet, Inc. www.FormsWorkFlow.com