ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and Address:) FOR COURT USE ONLY TELEPHONE NO.: EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO.(Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF FRESNO Family Law Department, Central Division 1130 `O' Street Fresno, California 93721 (559) 457-2100 CASE NUMBER: REQUEST FOR STATUS FAMILY CENTERED CASE RESOLUTION CONFERENCE This form is to be used only to request a specific case resolution plan and/or case management orders. The conference is not intended to be an evidentiary hearing. 1. This conference is being requested for the following reasons: 2. Declaration A copy of this Request for Status or Family Centered Case Resolution Conference, including a completed Case Information-Family Law form and an envelope with sufficient postage, was provided to the court clerk, with the envelope addressed as follows (address of the other party's attorney or, if none, the party's last known address): I declare under penalty of perjury under the laws of the State of California the forgoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) For Court Use Only Request for Status or Family Centered Case resolution Conference mailed to the non-requesting party on (date): The above case has been set on the calendar in Department at the B. F. Sisk Courthouse Requesting party notified on on at SHERAN MORTON, Acting Clerk of the Court By: ,Deputy Clerk PFL-15 E12-12 MANDATORY REQUEST FOR STATUS OR FAMILY CENTERED CASE RESOLUTION CONFERENCE California Rule of Court 5.83(g)(E) American LegalNet, Inc. www.FormsWorkFlow.com