District Court Denver Juvenile Court ___________________________ County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: Division Courtroom COURT USE ONLY Case Number: ORDER RE: EXEMPTION FROM MEDIATION/ADR (DOMESTIC RELATIONS CASE) The Motion re: Exemption from Mediation/ADR Order (Domestic Relations Case) was filed with this Court on ____________________________ (date), by the Petitioner and/or Co-Petitioner/Respondent. The Court, having reviewed the matter, hereby orders that the Motion is: Granted. The Mediation/Alternative Dispute Resolution Order (Domestic Relations Case) is vacated and is in the best interests of the parties. Denied. The parties are ordered to comply with the Mediation/Alternative Dispute Resolution Order (Domestic Relations Case). Denied. The parties are ordered to comply with the Mediation/Alternative Dispute Resolution Order (Domestic Relations Case) which is amended as follows: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ The Petitioner or Co-Petitioner/Respondent is ordered to set up mediation in sufficient time so that it will be completed as follows: within _______________ days from the date of this Order. by the following date: ________________________________. Date: ________________________________ _____________________________________ Judge Magistrate CERTIFICATE OF SERVICE I certify that on __________________ (date), I mailed, faxed, e-filed, or hand-delivered a copy of this Order to the following: Attorney for Petitioner or Petitioner pro se Attorney for Co-Petitioner/Respondent or Co-Petitioner/Respondent pro se Other_______________________________ _____________________________________ Clerk JDF 1308 R7/13 ORDER RE: EXEMPTION FROM MEDIATION/ADR DOMESTIC RELATIONS CASE ORDER ©2013 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com