SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, and Address): FOR COURT USE ONLY TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLACER 10820 Justice Center Drive 2501 N. Lake Blvd. P.O. Box 619072 P.O. Box 5669 Roseville, CA 95661-9072 Tahoe City, CA 96145 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: CASE NUMBER: NATURE OF CASE Dissolution Uniform Parentage Act UIFSA Legal Separation Domestic Violence DCSS Nullity UCCJEA Guardianship (Custody) Other AT ISSUE MEMORANDUM Counter At Issue Amended 1. 2. 3. 4. 5. 6. 7. 8. What date was the action filed? _____________________________ What date was the first response: served _____________________ filed _____________________ Has the Respondent appeared in this case?____________ Have disclosures been done?____________ Preliminary Final Is the matter at issue? _______________ What are the issues? ___________________________________________________________ Date of last settlement attempt: ____________________________________________________________________________________ Is a settlement conference requested? _______________________________________________________________________________ Is a court reporter requested for the Trial? ____________________ Note: Litigants are responsible for the court reporter fees. Dates NOT available for Trial Setting Case Management Conference: _____________________________________________________________________________________________________________ 9. Estimated time for trial: _________________________________________________________________________________________ Indicate below names of party being represented, names and state bar numbers of trial counsel. If self representing, please indicate address and telephone number: Petitioner ___________________________________ Attorney ____________________________________ Attorney's State Bar No. _______________________ Address ____________________________________ ___________________________________________ Telephone No. _______________________________ Claimant ___________________________________ Attorney ____________________________________ Attorney's State Bar No. _______________________ Address ____________________________________ ___________________________________________ Telephone No. _______________________________ Respondent ___________________________________ Attorney _____________________________________ Attorney's State Bar No. ________________________ Address _____________________________________ ____________________________________________ Telephone No. ________________________________ Other _______________________________________ Attorney _____________________________________ Attorney's State Bar No. ________________________ Address _____________________________________ ____________________________________________ Telephone No. ________________________________ I hereby represent to the Court that all essential parties have been served with process or have appeared herein and that this case is at issue as to all such parties; that no amended or supplemental complaint or cross-complaint or other affirmative pleading remains unanswered; that to my knowledge no other parties will be served with a summons prior to the time of trial, and I know of no further pleading to be filed. READ INSTRUCTIONS ON BACK OF FORM PRIOR TO FILLING OUT Form Adopted for Mandatory Use Superior Court of California, County of Placer Form No. PL-FL006 Effective 01-01-2016 www.placer.courts.ca.gov Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER Date __________________________ Signature _____________________________________________ ANY PARTY NOT IN AGREEMENT WITH THE INFORMATION OR ESTIMATES GIVEN IN AT ISSUE MEMORANDUM SHALL WITHIN TEN DAYS AFTER SERVICE THEREOF SERVE AND FILE A MEMORANDUM IN HIS/HER BEHALF. I served the At-Issue Memorandum by depositing a copy thereof (enclosed in sealed envelope(s), postage prepaid) in the United States Mail, addressed to each party or to his attorney as shown in such memoranda on______________ at ___________________________, California. At the time of service, I was at least 18 years of age, (employed/residing) ___________________________ in the county where the mailing occurred, and not a party to the action. My (residence/business) address is: ____________________________________________________________________________________________________________ Date _______________________ _________________________________________________ (Signature of declarant) _________________________________________________ (Type or print name) READ THE FOLLOWING INSTRUCTIONS BEFORE FILLING OUT THE FORM 1. Type or write legibly in ink. Provide all information requested. 2. Please provide dates NOT available for Trial Setting Case Management Conference in the appropriate box commencing one month from filing of "At-Issue". If no Counter At Issue submitted within 10 days after receipt of the At Issue, the Court will set Trial Setting Case Management Conference date pursuant to dates provided in the At Issue. 3. Date and sign the request at the bottom. 4. Mail a copy to all parties. If no proof of service is attached to the At Issue, the document will be returned. 5. Submit this form and the proof of service with a self addressed stamped envelope by delivering it in person or by mail to: Calendar Clerk Family Law Division Placer County Superior Court 10820 Justice Center Drive Roseville, CA 95678 6. Parties who are represented by an attorney are not required to attend the Trial Setting Case Management Conference. 7. This form must be filed with the Court in order for a trial to be set. Form Adopted for Mandatory Use Superior Court of California, County of Placer Form No. PL-FL006 Effective 01-01-2016 www.placer.courts.ca.gov Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com