ATTACHMENT FM-1010 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NUMBER: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: RESPONDENT: OTHER PARENT/CLAIMANT: 201 North First Street, San José, CA 95113 191 North First Street San José, California 95113 Family Justice Center STATUS OR CASE RESOLUTION CONFERENCE QUESTIONNAIRE Dissolution Nullity Legal Separation Other Family Law: Parentage 1. This is for a (check all that apply): Status Conference 2. 3. I am the a. b. Petitioner Respondent Case Resolution Conference Attorney for the Petitioner CASE NUMBER: DEPARTMENT NUMBER: DATE OF CONFERENCE: Attorney for Respondent Other Petitioner's Preliminary Final Declaration of Disclosure has been served. Respondent's Preliminary Final Declaration of Disclosure has been served. 4. Check the issues on which you and the other party disagree or need orders: a. Custody/Visitation e. Child Support i. b. Arrearages f. Property Valuation j. c. Property Division g. Property Characterization k. d. Reimbursement h. Attorney's Fees & Costs l. Spousal Support Property Valuation Date Separation date Other: 5. Mediation and Alternate Dispute Resolution (ADR) - We are in mediation or alternate dispute resolution. A continuance of the Status or Case Resolution is requested in order to allow additional time to resolve this matter. Settlement: Have you and the other party and/or your attorneys met to discuss settlement? Do you want a Settlement Officer Conference (SOC)? Yes No Yes No 6. 7. 8. 9. a. b. Case Resolution Conference Request: This is a complex matter and a Case Resolution Conference is requested. Trial/Hearing Setting: Is this matter ready to be set for trial or hearing? Yes No How long will your trial take (estimate)? Hours Days None Names: Yes No 10. Number of Expert Witnesses: 11. Is the Department of Child Support Services involved on the issue of child support? If yes: Which county? Court Case Number (if different from this case): FSB Number: Date: Attorney for Petitioner Respondent Other FM-1010 REV 08/01/16 STATUS OR CASE RESOLUTION CONFERENCE QUESTIONNAIRE Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com ATTACHMENT FM-1010 INSTRUCTIONS 1. You or your attorney may choose to complete this Status and Case Resolution Conference Questionnaire. If you or the other party is requesting at trial, you or your attorney must complete this Status and Case Resolution Conference Questionnaire. If you are representing yourself, help is available at the Self Service Center and Family Law Facilitator's Office located in the Family Justice Center, at 201 North First Street, San José, California 95113. You may call (408) 882-2900 or visit our website at www.scscourt.org for information about hours of operation and other important details. If this form is being used, you must serve and file this form with the Court no later than 10 calendar days before the Status or Case Resolution Conference. 2. a. Serve a copy of this form by mail at least 10 calendar days before the Status or Case Resolution Conference. Service by mail means that someone over the age of 18 who is not a party to the case mails a completed copy of this form to the other party, if self-represented, or to the other party's attorney. The person serving the form must complete the Proof of Service by Mail below. IMPORTANT: You cannot serve this form yourself! b. File the original completed form at least 10 calendar days before the Status or Case Resolution Conference. Self represented litigants and those attorneys appearing in person, should bring at least two (2) filed copies of the completed form to the Case Management Conference. 3. If you are representing yourself and do not have an attorney, you must appear in person or by telephone at the Status or Case Resolution Conference. If you appear in person, you may be able to obtain information concerning completing your case from the Self Help Center on the day of the conference. If you are being represented by an attorney, your attorney can appear in person or by telephone. Please consult with your attorney about the need for you to be present, in person or by telephone, at the Status or Case Resolution Conference. To appear by telephone at the Status or Case Resolution Conference, the attorney or party appearing by telephone must contact CourtCall at (888)88COURT 10 calendar days before the Status or Case Resolution Conference to arrange the telephonic appearance and pay the required fee. 4. 5. PROOF OF SERVICE BY MAIL (C.C.P. 1013a) I mailed a copy of the Case Management Conference Questionnaire in a sealed envelope as follows: a.) Mailed from: (City) b.) On (date): c.) To (name and address of the person served): , (State) Server's Information: Name: Address: City: State: Zip: (If you are a registered process server): County of Registration: Registration Number: I am over the age of 18 and not a party to this case. I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date Server prints name here Server signs name here FM-1010 REV 08/01/16 STATUS OR CASE RESOLUTION CONFERENCE QUESTIONNAIRE Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com