(local form) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA COUNTY OF KINGS 1426 SOUTH DRIVE HANFORD, CA 93230 Petitioner: _________________________________________ Respondent: _________________________________________ Case Number: APPLICATION TO ATTEND MEDIATION PRIOR TO COURT AND ORDER THEREON The Petitioner and Respondent in the above-referenced matter hereby jointly apply to the Court for an order to attend mediation prior to appearing in court on the Notice of Motion filed by the ___________________________. Petitioner's Information: Address: Respondent's Information: Address: , Telephone Number: ( ) Telephone Number: ( ) , Date:____/____/_____ Date:____/____/_____ _________________________________________________ (Signature of Petitioner/Attorney for Petitioner) _________________________________________________ (Signature of Respondent/Attorney for Respondent) ORDER The Court having read and considered the application of the parties and good cause appearing therefore; IT IS HEREBY ORDERED that the parties shall attend mediation on _____/_____/_____ at _______ with __________________________________. Date:____/____/____ ________________________________ Judicial Officer a.m. p.m. CLERK'S CERTIFICATE OF MAILING I certify that I am not a party to this cause and that a copy of the above notice was mailed first class, postage prepaid, in a sealed envelope addressed as shown below, and that the mailing of the foregoing and execution of this certificate occurred at Hanford, California. Date:____/____/____ TODD H. BARTON COURT EXECUTIVE OFFICER/CLERK OF THE COURT By:________________________________________ Deputy Clerk ___________________________________________________________________________________________ APPLICATION TO ATTEND MEDIATION PRIOR TO COURT AND ORDER THEREON Revised: 06-10-08 American LegalNet, Inc. www.FormsWorkFlow.com OPTIONAL FORM