SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT ________________________________________ PRINT PETITIONER’S/PLAINTIFF’S NAME PETITIONER/PLAINTIFF, Case No. ____________________ v. Judge _________________________________ ____________________ PRINT RESPONDENT’S/DEFENDANT’S NAME RESPONDENT/DEFENDANT. MOTION FOR REVIEW OF MAGISTRATE JUDGE’S ORDER Does the Other Party Consent to this Motion? yes no I, _________________________________, am the PLAINTIFF/PETITIONER DEFENDANT/RESPONDENT PRINT YOUR NAME in this case. 1. The Magistrate Judge’s Order docketed on ______________________________________ PRINT DATE THE CLERK STAMPED THE ORDER should be set aside because [CHECK ALL THAT APPLY] The Magistrate Judge applied the law incorrectly. The Magistrate Judge’s Order is plainly wrong. The Magistrate Judge’s Order is not supported by the evidence. The Magistrate Judge’s Order is an abuse of the Court’s discretion. 2. My reason is ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ DC Bar Pro Bono Program (revised 03.05) Motion for Review of Magistrate Judge’s Order Page 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Request for Relief I RESPECTFULLY REQUEST that the Court grant my Motion for Review of Magistrate Judge’s Order. I ALSO REQUEST that the Court award any other relief it considers fair and proper. I DO DO NOT request an oral hearing in front of the judge on this motion. Respectfully Submitted, ____________________________________ SIGN YOUR NAME ___________________________________________ STREET ADDRESS ___________________________________________ CITY, STATE AND ZIP CODE ___________________________________________ TELEPHONE NUMBER SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. DC Bar Pro Bono Program (revised 03.05) Motion for Review of Magistrate Judge’s Order Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com POINTS AND AUTHORITIES IN SUPPORT OF MOTION FOR REVIEW OF MAGISTRATE JUDGE’S ORDER In support of this Motion, I refer to: 1. Super. Ct. Gen. Fam. R. D(e)(1), including Comment. 2. D.C. Code § 17-305(a). 3. Minor v. Robinson, 117 WLR 1749 (Super. Ct. 1988). 3. The record in this case. 4. The attached supporting document(s), if any. [LIST ANY DOCUMENTS THAT YOU ARE ATTACHING] __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _________________________________________________________________. DC Bar Pro Bono Program (revised 03.05) Motion for Review of Magistrate Judge’s Order Page 3 of 5 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT ________________________________________ PRINT PETITIONER’S/PLAINTIFF’S NAME PETITIONER/PLAINTIFF, Case No. ___________________ v. _________________________________ PRINT RESPONDENT’S/DEFENDANT’S NAME RESPONDENT/DEFENDANT. RULE 5 CERTIFICATE OF SERVICE IF YOU HAVE ALREADY SERVED THE OTHER PARTY, YOU CAN FILL OUT AND FILE THIS CERTIFICATE OF SERVICE ON THE SAME DAY YOU FILE YOUR PAPERS. IF YOU HAVE NOT ALREADY SERVED THE OTHER PARTY, YOU MUST FILL OUT AND FILE THIS CERTIFICATE OF SERVICE AFTER YOU SERVE THE OTHER PARTY. I certify that I served a copy of my Motion for Review of Magistrate Judge’s Order to the other party or the other party’s attorney on ____________________________. PRINT DATE OF SERVICE The papers were delivered [CHECK ONE] by handing it to the other party by first class mail to: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ STREET ADDRESS CITY, STATE AND ZIP CODE DC Bar Pro Bono Program (revised 03.05) Motion for Review of Magistrate Judge’s Order Page 4 of 5 American LegalNet, Inc. www.FormsWorkFlow.com by fax to: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ FAX NUMBER by leaving a copy at the other party’s workplace with a clerk or person in charge, or because there was no one in charge, by leaving it in a conspicuous place: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ STREET ADDRESS CITY, STATE AND ZIP CODE by leaving a copy at the other party’s home with a person of suitable age and discretion who lives there: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ STREET ADDRESS CITY, STATE AND ZIP CODE _____________________________ _____________________________ SIGN YOUR NAME DATE DC Bar Pro Bono Program (revised 03.05) Motion for Review of Magistrate Judge’s Order Page 5 of 5 American LegalNet, Inc. www.FormsWorkFlow.com