SUPERIOR COURT OF CALIFORNIA EL DORADO COUNTY STIPULATION FOR OFF CALENDAR REQUEST TO: Department 5 Judicial Officer Date: _____________________ FROM: Family Court Services RE: Case #: ________________________ Petitioner: _______________________ Respondent:______________________ _______________________________________________________________________ _______________________________________________________________________ We, the above-named parties, have successfully mediated our child custody and/or visitation concerns via Family Court Services. As a result, we hereby stipulate to the mediation agreement as set forth in the attached Family Court Services document, dated _________. This agreement will satisfy in its entirety the issues upon which an Order to Show Cause/Motion was filed by ____________________ on____________, which is scheduled to heard on ____________ at ________am./pm in Department 5. Therefore, all parties respectfully request that the above hearing date be dropped from the Court's calendar. Date: ______________________ Date: ______________________ ________________________________ Petitioner ________________________________ Respondent ADOPTED AS THE COURT'S ORDER THIS __ DAY OF _____ , 2008 __________________________________________ Judicial Officer's signature Local Form F-87 revised 8/5/08 American LegalNet, Inc. www.FormsWorkflow.com