251Superior Court of Arizona in Maricopa County DRADM92f-010119 ALL RIGHTS RESERVED Page 1 of 1 Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: ATLAS Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (1) Case Number: (2) Name of Petitioner / Party A Current Judge: JOINT REQUEST FOR POST - DECREE MEDIATION (1) Name of Respondent / Party We, Party A and Party B, do not agree on issues of legal decision-making (legal custody) and/or parenting time but we do agree to participate in mediation. We ask for mediation of the issues, based on the following: (3) Check one box only. We are divorced or legally separated from each other. OR An Order of Paternity has been entered by the court. OR OTHER (Describe): (4) Describe the disagreement. Be brief and specific. (The disagreement must involve legal decision - making ( legal custody ) and/or parenting time of your minor children): (5) Check one box only. We have not participated in mediation OR We have participated in mediation in the past. When: Where: When: Where: P arty A Party B (6) Address: (7) Address: City, State, Zip: City, State, Zip: Telephone #: Telephone #: (7) (7) Date Signature of Petitioner / Party A Date Signature of Respondent / Party B P arty A Party B American LegalNet, Inc. www.FormsWorkFlow.com