NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF AMADOR 500 ARGONAUT LANE, JACKSON CA 95642 PLAINTIFF: DEFENDANT: FAMILY LAW CASE MANAGEMENT STATEMENT Amador Rule of Court 13.23(D) HEARING DATE: CASE NUMBER: JUDGE: CMC DATE: 1. __________ __________ DEPT.: TIME: _____ _____ PARTIES: I am _____ the petitioner _____ the respondent _____ a claimant _____ an attorney for a party OR _____ This is a joint statement submitted by the parties (if this is a joint statement, both parties or attorneys must sign and date herein below). 2. CASE SUMMARY: Provide a brief factual summary of the case, including dates of marriage and separation (if any), the names and ages of any minor children, and state what relief from the court you have requested. 3. CHANGES FROM THE LAST CMC STATEMENT (if any): 4. STATUS OF RESPONDENTS (to be completed by Petitioner only). List all of the parties names (Respondent and Claimants) in this case, and specify as to each: Name Nature of Party's Involvement Date Served Current Status (Date Answered, Defaulted, etc.) Rev. 08/25/11 FAMILY LAW CASE MANAGEMENT CONFERENCE STATEMENT FCS043 American LegalNet, Inc. www.FormsWorkFlow.com 1 5. DISCLOSURES. a. b. Preliminary Declaration of Disclosure served and Declaration re: Service filed? _____ Yes _____No Final Declaration of Disclosure served and Declaration re: Service filed? Or, Waiver of Declaration of Final Disclosure? _____ Yes _____ No 6. DISCOVERY. I have completed all discovery. _____ Yes _____ No. If you answered no, please state what discovery is anticipated and/or pending and the anticipated date of completion. 7. OTHER ISSUES. Please state any other issues for the Court's consideration. 8. TRIAL. I estimate the trial of this case will take: _____ _____ Days Hours This case will be ready for trial by the following date: __________ 9. SETTLEMENT CONFERENCE/FURTHER CMC: _____ _____ I request this matter be set for a settlement conference and trial. I request this matter be set for a further case management conference. Dates I am currently unavailable for trial and settlement conferences: DATE: ____________________________________ SIGNATURE OF PARTY OR ATTORNEY ____________________________________ TYPE OR PRINT NAME OF PARTY OR ATTORNEY DATE: ____________________________________ SIGNATURE OF PARTY OR ATTORNEY ____________________________________ TYPE OR PRINT NAME OF PARTY OR ATTORNEY Rev. 08/25/11 FAMILY LAW CASE MANAGEMENT CONFERENCE STATEMENT FCS043 American LegalNet, Inc. www.FormsWorkFlow.com 2