NAME: ADDRESS: TEL: EMAIL: ATTORNEYS FOR: SBN:__________ or SELF-REPRESENTED For court use only Superior Court of California County of San Francisco 400 McAllister Street San Francisco, CA 94102 Petitioner: Respondent: FAMILY CENTERED CASE RESOLUTION (FCCR) STATEMENT: Date: Time: Dept: [Cal. Rules of Court Rule 5.83; Cal. Fam. C. § 2450, 2451] CASE NUMBER: A Proposed AGENDA and/or Proposed ORDER may be attached to this FCCR Initial Form. THIS FORM IS BEING SUBMITTED BY: Petitioner Respondent Both Petitioner and Respondent Jointly 1. CASE MANAGEMENT IS NEEDED BECAUSE: (check all that apply) a. b. c. d. e. f. The parties need judicial assistance in working to move the case forward. Facts of the case present problems for which there are no apparent solutions. Case presents novel legal issues for which there are no clear answers. Case is complex and can benefit from Court assistance in moving the case forward. Information is needed from third parties. Other: (briefly describe) _________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Family Centered Case Resolution ­ Statement 1 American LegalNet, Inc. www.FormsWorkFlow.com 2. WHAT IS THE STATUS OF YOUR CASE? a. b. Petition filed on: ________ (date) Service on Respondent occurred by: personal service on (date) _________; other: (specify type of service and date) ___________________________________________________; or A Notice and Acknowledgement of Receipt was signed on (date): ___________ c. d. Respondent filed a Response on (date): ________________ ADR: Parties completed/terminated their ADR process on (date): ____________ Parties are engaged in ADR (briefly specify type/status): _____________ __________________________________________________________________ sub-service on (date) ___________; 3. WHAT ISSUES REQUIRE THE COURT'S ASSISTANCE? a. Help is needed obtaining the following information (check all that apply): Petitioner's deposition Petitioner's tax returns Income & Expense Statement for Respondent's deposition Respondent's tax returns Petitioner Respondent Respondent Preliminary Declaration of Disclosure for Other documents from Petitioner Other documents from Respondent Petitioner Other: (briefly describe) _____________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ b. Help is needed obtaining the following financial information from Other Parties (check all that apply): Depositions of non-parties Documents subpoenaed from non-parties Other: ____________________________________________________________ ______________________________________________________________________ Family Centered Case Resolution ­ Statement 2 American LegalNet, Inc. www.FormsWorkFlow.com c. Help is needed obtaining expert assistance on Custody and Parenting Time issues (check all that apply): Custody Evaluation Educational Evaluation Brief, Focused Assessment Psychological Evaluation Substance Abuse Assessment Minor's Counsel Other: ___________________________________________________ d. Help is needed obtaining expert assistance on Financial Issues (check all that apply): Property Appraisal Business Valuation Forensic Accountant Tax Accountant Other Accountant Occupational Evaluation Asset Valuation Real Estate Broker Other: ___________________________________________________ e. Help is needed coordinating the following processes (check all that apply): Appointment of a Special Master Private Mediation Mandatory Settlement Conference with Volunteer Settlement Masters Court Provided Mediation of Custody and Parenting Time (FCS Mediation) Judicial Settlement Conference Private Judge Other ADR: ___________________________________________________ f. Help is needed in resolving certain issues before trial (check all that apply): Payment of Attorneys' Fees Domestic Violence Restraining Orders Entitlement to Discovery Family Centered Case Resolution ­ Statement 3 American LegalNet, Inc. www.FormsWorkFlow.com Scope of Discovery Move Away Validity of a Pre-Marital Agreement Termination of Marital Status Setting Temporary Spousal Support Setting Child Support Resolving Custody and Parenting Time Issues Pre-Judgment Control Over/Use Of Assets Ongoing Management of a Family Business/Asset Other Pending Legal Actions or Proceedings Other: ___________________________________________________ g. Help is needed in defining how the trial will be conducted (check all that apply): Setting the Trial Date Predicting the Duration of Trial Identifying Witnesses and the Subject Matter of their Testimony Identifying and Disclosing Exhibits to be used at Trial Bifurcation of Issues for Separate Trials Selecting, Identifying and Preparing Expert Witnesses Admission of Documents into Evidence Submission of Testimony by Declaration or Deposition Other: ___________________________________________________ Respectfully Submitted: Dated: _______________________ Name: _______________________________________ Petitioner or Attorney for Petitioner Respondent or Attorney for Respondent Dated: _______________________ Name: _______________________________________ Petitioner or Attorney for Petitioner Respondent or Attorney for Respondent Family Centered Case Resolution ­ Statement American LegalNet, Inc. www.FormsWorkFlow.com 4