ATTORNEY OR UNREPRESENTED PARTY (NAME AND ADDRESS) TELEPHONE NO. FOR COURT USE ONLY ATTORNEY(S) FOR: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO San Bernardino District, 351 North Arrowhead Avenue, San Bernardino, CA 92415-0210 Rancho Cucamonga District, 8303 North Haven Avenue, Rancho Cucamonga, Ca 91730 Victorville District, 14455 Civic Drive, Victorville, Ca 92392 Barstow District, 235 East Mountain View, Barstow, Ca 92311 Joshua Tree District, 6527 White Feather Road, Star Route 1, Box 60, Joshua Tree, CA 92252 Big Bear District, P O Box 2806, Big Bear Lake, CA 92325 Needles District, 1111 Bailey Street, Needles, CA 92363 PETITIONER: RESPONDENT: FAMILY LAW CASE MANAGEMENT CONFERENCE STATEMENT ORIGINAL SUPPLEMENTAL CASE NUMBER: JUDGE: CMC DATE: DEPT: TIME: This statement must be completed by the attorney for each party and/or each party appearing in pro per, filed with the court and served on opposing parties at least ten (10) calendar days prior to the initial Case Management Conference. Counsel will not be required to complete this statement for subsequent Case Management Conferences unless ordered to do so by the court. 1. PARTIES. I am a Petitioner a Respondent Claimant an attorney for a party (name of party): 2. CASE SUMMARY. Provide a brief factual summary of the case, including dates of marriage and separation, (if any), and names and ages of any minor children, and state what relief from the court you have requested. 8/20/07 FAMILY LAW CASE MANAGEMENT STATEMENT Page 1 of 3 SB-17010 American LegalNet, Inc. www.FormsWorkflow.com CASE NUMBER 3. CHANGES SINCE LAST CMC BRIEF FILED (if any): 4. STATUS OF RESPONDENTS (to be completed by Petitioner(s) only). List all parties named as Respondents/Claimants in this case, and specify as to each: Name Nature of Party's Involvement in Case Date Served Current Status (i.e., Date Answered, Defaulted, Dismissed) 5. ADDITIONAL PARTIES. Do you contemplate adding any other parties? Yes No. If you answered yes, please state the name of the party, the nature of their involvement in the case and the date by when they will be served. 6. PLEADINGS. Are the pleadings in the case in final form? Yes No. If you answered no, please state what challenges to the pleadings are anticipated and/or pending. 7. a) A Preliminary Declaration of Disclosure served and filed are: Yes, Date No b) Final Declaration of Disclosure served and filed on: 8/20/07 FAMILY LAW CASE MANAGEMENT STATEMENT Page 2 of 3 SB-17010 American LegalNet, Inc. www.FormsWorkflow.com CASE NUMBER 8. ALTERNATE DISPUTE RESOLUTION (ADR). All parties have stipulated to alternate dispute resolution (ADR). Yes No. If you answered yes, please attach a copy of the signed stipulation and state the type of ADR process(es) requested. 9. DISCOVERY. I have completed all discovery. Yes No. If you answered no, please state what discovery is anticipated and/or pending and the date by when it will be completed. Anticipated/Pending Discovery Completion Date 10. OTHER ISSUES. Please state any other issues for the court's consideration. 11. TRIAL. I estimate that the trial of this case will take: days. hours. . This case will be ready for trial by the following date: I AM COMPLETELY FAMILIAR WITH THIS CASE AND WILL BE FULLY PREPARED TO DISCUSS THE STATUS OF DISCOVERY AS WELL AS OTHER ISSUES RAISED BY THIS QUESTIONNAIRE, AND WILL POSSESS FULL AUTHORITY TO ENTER INTO STIPULATIONS ON THESE ISSUES AT THE TIME OF THE CASE MANAGEMENT CONFERENCE. Date: Signature of Party or Attorney Type or print name of Party or Attorney 8/20/07 FAMILY LAW CASE MANAGEMENT STATEMENT Page 3 of 3 SB-17010 American LegalNet, Inc. www.FormsWorkflow.com