District Court Denver Juvenile Court ________________________________ County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: __________________________________________________ Petitioner/Plaintiff(s): and Co-Petitioner/Respondent/Defendant(s): COURT USE ONLY Case Number: Division Courtroom ORDER RE: EXEMPTION FROM MEDIATION/ADR The Motion re: Exemption from Mediation/ADR Order was filed with this Court on _____________________________ (date), by the Petitioner/Plaintiff(s) and/or CoPetitioner/Respondent/Defendant(s). The Court, having reviewed the matter, hereby orders that the Motion is: Granted. The Mediation/Alternative Dispute Resolution Case Order is vacated and is in the best interest of all the parties. Denied. The parties are ordered to comply with the Mediation/Alternative Dispute Resolution Order. Denied. The parties are ordered to comply with the Mediation/Alternative Dispute Resolution Order which is amended as follows: _______________________________________________________________________________________ _______________________________________________________________________________________ ___________________________________________________________________________________ The Petitioner/Plaintiff(s) or Co-Petitioner/Respondent/Defendant(s) is/are 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/Plaintiff(s) or Petitioner/Plaintiff(s) pro se Attorney for Co-Petitioner/Respondent/Defendant(s) or Co-Petitioner/Respondent/Defendant(s) pro se Other_______________________________ _____________________________________ Clerk JDF 609 R7/13 ORDER RE: EXEMPTION FROM MEDIATION/ADR ©2013 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com