ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. MAIN STREET EL CENTRO, CA 92243 PETITIONER: RESPONDENT: CASE MANAGEMENT QUESTIONNAIRE CASE NUMBER: INSTRUCTIONS: This form must be filed and served at least 20 calendar days before the Case Management Conference. If you are representing yourself, you must have someone over the age of 18, other than yourself; mail a completed copy of this form to the opposing attorney or party at least 20 days before the Case Management Conference. A Proof of Service form should be attached to the original form that is filed with the court. PLEASE BE SURE TO BRING A COPY OF THE COMPLETED FORM AND PROOF OF SERVICE WITH YOU TO THE CASE MANAGEMENT CONFERENCE. 1. PARTIES AND ATIORNEYS . I am a. I am Petitioner Respondent Other: _____________ am not represented by an attorney. is is not represented by an attorney. b. The other party c. The address of the other party/party's attorney is: Name: ________________________________________________________________________________ Address: ______________________________________________________________________________ City/State/Zip Code: ____________________________________________________________________ Telephone Number: ____________________________________________________________________ 2. NATURE OF CASE. a. Have the parties reconciled .... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . . . . b. Has the Respondent been served with the Summons and Petition .......................... c. Do the parties expect to make an agreement .................................................... d. Has this case settled.................. Yes e. Parties working on an agreement and request the CMC be continued.......................... f. Has the Petitioner served Respondent with Disclosure Documents .......................... g. Has the Respondent served Petitioner with Disclosure Documents ........................ h. Have the parties had a meeting to try and settle all issues ................................... i. Are the parties involved in any private mediation .............................................. Yes Yes Yes No No No No Judgment will be filed on/before: ______________ Yes Yes Yes Yes Yes No No No No No Form Approved for Optional Use FL-03 (Adopted 07/01/07, Revised 01/01/11, 01/01/13, 01/01/16) www.imperial.courts.ca.gov CASE MANAGEMENT QUESTIONNAIRE Page 1 of Inc. American LegalNet,2 www.FormsWorkFlow.com Petitioner: Respondent: Case Number: 3. ISSUES. This case involves the following issues (check all that apply). a. CHILD CUSTODY/VISITATION has been resolved by agreement resolved by Court Order still pending and the next hearing date is _________ b. CHILD SUPPORT has been resolved by agreement still pending and there is no hearing date set. resolved by Court Order still pending and there is no hearing date set. resolved by Court Order still pending and the next hearing date is _________ c. SPOUSAL SUPPORT has been resolved by agreement still pending and the next hearing date is _________ d. DIVISION OF ASSETS has been still pending and there is no hearing date set. resolved by Court Order resolved by agreement still pending and the next hearing date is _________ e. DIVISION OF DEBTS has been still pending and there is no hearing date set. resolved by Court Order resolved by agreement still pending and the next hearing date is _________ f. ATTORNEY'S FEES & COSTS have been still pending and there is no hearing date set. resolved by Court Order resolved by agreement still pending and the next hearing date is _________ 4. TRIAL READINESS. I am am not ready for trial. still pending and there is no hearing date set. a. If not ready for trial, when will you be ready (date): _______________ b. If ready for trial, this case will take ______ days hours to complete. c. If ready for trial, what dates are you unavailable for trial: _________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ 5. ADDITIONAL INFORMATION: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated:______________________________ ____________________________________ Petitioner Respondent Form Approved for Optional Use FL-03 (Adopted 07/01/07, Revised 01/01/11, 01/01/13, 01/01/16) www.imperial.courts.ca.gov CASE MANAGEMENT QUESTIONNAIRE American LegalNet, Inc. Page 2 of 2 www.FormsWorkFlow.com