1 2 3 4 5 6 7 8 and 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 I certify that I am not a party to this action and that a true copy of this Notice of Mediation Appointment was mailed, with postage fully prepaid, in a sealed envelope addressed as shown below, and that the Notice was mailed at (place): ___________________________________ on (date): _______________________________________________________, addressed to: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Date: __________________ ________________________________________ NOTE: Please notify the Family Court Services office at (530) 265-1733 upon receipt of this notice in order to confirm the appointment. Dated: _______________ ________________________________________ CERTIFICATE OF MAILING If you have not attended mediation in the last two years, it is required that you attend Mediation Orientation (please contact Family Court Services for day and time of orientation), prior to attending mediation. If parties have not attended orientation prior to the scheduled mediation appointment, the mediation may be denied. TO: _________________________________________ You are hereby notified that a mediation appointment has been scheduled for the parties on ____________________ at __________ a.m./p.m. at the Family Court Services, 201 Church Street, 2nd Floor, Nevada City, California. Respondent: ________________________________ NOTICE OF MEDIATION APPOINTMENT In re the Marriage of Petitioner: __________________________________ SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF NEVADA CASE NO. ____________ _________________________________________________________________________________________________________________________________________________________ NOTICE OF MEDIATION APPOINTMENT Page 1 of 1 LOCAL FL9 (Rev.7/1/10) ­ OPTIONAL FORM American LegalNet, Inc. www.FormsWorkFlow.com