ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): TELEPHONE NO: E-MAIL ADDRESS (OPTIONAL) ATTORNEY FOR: FAX NO: (OPTIONAL) SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN MATEO 400 COUNTY CENTER REDWOOD CITY, CA 94063 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: STATUS CONFERENCE STATEMENT Date: Time: Dept.:________ CASE NO: Note: This form must be filed at least 15 days prior to your Status Conference and a copy served on the other party. 1. Petitioner is self-represented ­ or -- Attorney for Petitioner is: Respondent is self-represented ­ or -- Attorney for Respondent is: 2. This case involves the following disputed issues (please describe): Date of Separation: __________________________________________________________________________ Child Custody/Visitation: ______________________________________________________________________ Child Support: ______________________________________________________________________________ Spousal Support: ____________________________________________________________________________ Community Property (characterization/valuation/division): ____________________________________________ Reimbursement claims: _______________________________________________________________________ Attorneys Fees: _____________________________________________________________________________ Other: _____________________________________________________________________________________ 3. At this conference, if there are issues to resolve for which you seek the court's assistance, please describe below: a. b. c. ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ A proposal for settlement is attached. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ FL ­ 3 rev. Jan. 1 2009 Local Rules 5.8 Status Conference Statement Family Law p.1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 4. Have Preliminary Declarations of Disclosure documents been exchanged? Yes No If "No", do you need a deadline to exchange Schedule of Assets & Debts and/or Income & Expense Declaration forms? Yes No 5. Trial Readiness: a. b. c. d. e, Are you requesting the case be set for MSC/trial? Yes No How recently have the parties and/or counsel met to discuss settlement? ___________________________ This case is expected to take: __________________ What discovery remains to be done? This case will be ready for trial on: Interrogatories days Depositions hours of trial. Document Production 6. I/We Request: Continue Status Conference until __________________________________(date) for the following reasons: _____________________________________________________________________________________________ ADR (mediation, collaborative law, arbitration, etc.) Family Court Services referral Referral to the Family Law Facilitator for assistance with completing legal paperwork Other: 7. Statement Prepared By: Submitted: Petitioner Jointly or Respondent Individually This statement accurately reflects the present status of the case. Respectfully submitted: Dated: ________________________ Attorney for self-represented ____________________________ Petitioner Respondent Dated: ________________________ Attorney for self-represented ____________________________ Petitioner Respondent ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ FL ­ 3 rev. Jan. 1 2009 Local Rules 5.8 Status Conference Statement Family Law p.2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com