SUPERIOR COURT OF CALIFORNIA, COUNTY OF MERCED FAMILY COURT SERVICES FORMAL REQUEST FOR: WAIVER OF ORIENTATION HEARING CASE NAME: CASE NUMBER: I. Request for Waiver of Orientation Hearing Date for Orientation as currently set by the Court: I, , submit this written request for the Court’s approval for waiver of orientation with the request to be submitted to the Clerk’s Office no later than 4PM the day prior to your scheduled date of Orientation Hearing. This request is made for the following reason: Party lives over 250 miles away Address: Party has been to orientation within the last 18 months. Date last attended _____________________ Telephone Number to confirm waiver of Orientation hearing ______________________________ Telephone number to include area code Date: ______________________ ______________________________________________________ Signature of Party FORMAL REQUEST FOR: TELEPHONIC MEDIATION II. Request to Participate by Telephone for Mediation I, , submit this written request for the Court’s approval to conduct the currently scheduled Mediation via telephone. I understand that if granted, Mediation shall be conducted by the Mediator and I shall be advised of the possible six (6) hour period in which the Mediator shall be able to contact me. The telephone number provided below is the number that I can be reached at throughout that time period. I am requesting to participate by telephone for Mediation for the following reasons: III. Telephone Number of Party Requesting to Appear Telephonically I, _______________________________, submit that this is a true and correct telephone number of where I can be reached for the purpose of court contact and mediation: ______________________________ Telephone Number including area code Date: ______________________ ______________________________________________________ Signature of Party If your Orientation Hearing is waived, it is the party’s responsibility to contact the Court office to find out the date and time Mediation and Further Hearing by contacting the Clerk’s Office at (209) 725-4117. Waiver of Orientation Telephonic Mediation Based on the above statement, the request for: DENIED GRANTED is/are hereby: Date: ________________________ Judge of the Superior Court Gave copy to party/attorney: ________________by __________________________ (Date) (Court clerk’s Initials) Gave party information/Left message for party by _____________________ (Date) (Court Clerk Initials) 12/08 AAV American LegalNet, Inc. www.FormsWorkFlow.com