Superior Court of California, County of Humboldt Appendix 8.30 Local Form COMPL-8.1 SUPERIOR COURT OF CALIFORNIA, COUNTY OF HUMBOLDT FAMILY COURT MEDIATION SERVICES COMPLAINT FORM Thank you for informing us of your complaint about the services provided by Family Court Mediation Services Staff and/or the procedures employed in the mediation process. We are committed to providing quality service to mediation customers and the court takes complaints seriously. Attached is a set of questions that will help us better understand the nature of your complaint. Please complete the form and return it to the Family Law Facilitator in Room 305E, on the third floor of the courthouse. This office is located in the same location where your mediation took place. You can mail the form or submit it in person. The Family Law Facilitator will process your complaint according to the following procedure, which is set forth in this court's Local Rule 826 and California Rule of Court 5.210. The local rules are available in the Court Clerk's Office, the Court's Human Resources Office and on the court's website at www.huimboldt.courts.ca.gov: The Family Law Facilitator will: Review your complaint. Acknowledge receipt of your complaint. Contact the mediator(s) involved and obtain his/her response to your concerns. Respond to your concerns in person or in writing. Determine whether your complaint can be handled informally. If no informal resolution can be reached, the complaint will be referred to a court officer designated by the Presiding Judge to handle this type of complaint. If necessary, the matter may be referred to the Presiding Judge for review and decision. The following is some general information that may help you understand how Family Court Mediation Services and the court work. The mediation that you and the other parent participated in is called Child Custody Recommending Counseling. The reason it is termed that is because if parties are unable to reach an agreement regarding child custody and visitation (parenting time), the Child Custody Recommending Counselor must provide the Court with a recommendation regarding what he/she thinks is the best plan for you and your child(ren). The Child Custody Recommending Counselor can only offer recommendations and cannot make orders. The Court is responsible for making binding orders about parenting arrangements. Only a judicial officer can change a court order. If you and the other parent cannot agree on a parenting plan, a Request for Order (Judicial Council Form FL-300) must be filed with the court for a review of the orders in your case. This 143 American LegalNet, Inc. www.FormsWorkFlow.com Superior Court of California, County of Humboldt form is available in the Court Clerk's Office at 421 I Street in Eureka on the ground floor in the courthouse. The Clerk's Office is open from 9 a.m. to 2 p.m. This packet may also be downloaded from this court's website at www.humboldt.courts.ca.gov. Submitting a complaint through this office is not an appeal for a review of the court's order. Again, thank you for bringing your concerns to our attention. We will review your complaint thoroughly and make every effort to respond to your concerns promptly. If you have any questions regarding your complaint, please contact the court's Family Law Facilitator at the phone number and/or address listed at the top of this document. 144 American LegalNet, Inc. www.FormsWorkFlow.com Superior Court of California, County of Humboldt CRC RULE 5.210 MEDIATOR COMPLAINT FORM Your Name: __________________________________________________________________ Your Home Address: ___________________________________________________________ Your Home Phone: ______________________Your Work Phone: ______________________ Your Employer: _______________________________________________________________ Your Work Address: ___________________________________________________________ Name of Mediator: _____________________________________________________________ Address of Mediator: ___________________________________________________________ State exactly what the mediator has done, or failed to do, which you believe violates Rule 5.210 of the California Rules of Court. PLEASE DESCRIBE YOUR COMPLAINT IN DETAIL. Use the back of this page or attach other pages if you need more space. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ The information given in this complaint is true to the best of my knowledge and belief. I am aware that the mediator may be notified of my complaint. Your Signature __________________________________________ Date _________________ Adopted for Mandatory use Complaint Re Mediator Form COMPL-8.1, Eff. 07/01/13 145 American LegalNet, Inc. www.FormsWorkFlow.com