ALA FL-041 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY FAX NO. (Optional): TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, ALAMEDA COUNTY STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER: CASE NUMBER: STATUS CONFERENCE QUESTIONNAIRE 1. Check all issues on which you and the other party disagree or need orders: Custody/Visitation Child Support Spousal Support Arrearages Property Valuation Property Valuation Date Property Division Property Characterization Separation Date Reimbursement Attorney’s Fees & Costs Contempt Other (specify): 2. Discovery a. Discovery remaining: Interrogatories Depositions Document Production. b. Estimated completion of discovery (date): c. Other (specify): 3. Mandatory Declaration of Disclosure (for Dissolution, Legal Separation, and Nullity cases only). a. Petitioner has served Respondent with Preliminary Final Declaration of Disclosure. b. Respondent has served Petitioner with Preliminary Final Declaration of Disclosure. 4. Bifurcation of issues is requested on the following (specify): 5. Parties or counsel have met to discuss settlement. How many times in person (specify): 6. Likelihood of settlement without court assistance (specify %): By phone (specify): With court assistance (specify %): 7. Case management under Family Code section 2450 et seq. is requested by Petitioner Respondent Other. 8. Estimated time for trial (specify hours or days): 9. 10. Non-expert witnesses (number): Expert witnesses (number): Date (names): (names): _________________________________________________________ ATTORNEY FOR PETITIONER RESPONDENT OTHER Page 1 of 1 Form Adopted for Mandatory Use Superior Court of California, County of Alameda ALA FL-041 [New January 1, 2008] STATUS CONFERENCE QUESTIONNAIRE Local Rule 5.45(a) American LegalNet, Inc. www.FormsWorkflow.com