Original - Court 1st copy - Plaintiff 2nd copy - Defendant Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE CASE NO. MOTION TO REMOVE CASE FROM MEDIATION Court address Court telephone no. Plaintiff's name(s), address(es), and telephone no(s). Defendant's name(s), address(es), and telephone no(s). v Defendant's attorney, bar no., address, and telephone no. Plaintiff's attorney, bar no., address, and telephone no. Probate In the matter of MOTION 1. I object to the order for mediation dated aside the order because a. b. c. d. e. and request a hearing on this objection to set Date the case involves child abuse or neglect. the case involves domestic abuse, and attorneys for both parties will not be present at the mediation session. one or both of the parties are unable to negotiate for themselves and are unrepresented by attorneys. there is reason to believe that one or both of the parties' health or safety would be endangered by mediation. other: specify 2. I was served with a copy of the order for a mediation on . Date Signature Date NOTICE OF HEARING 1. A hearing has been scheduled on the above motion on at Date at Location before Hon. Time Bar no. . 2. If you require special accommodations to use the court because of disabilities, or if you require a foreign language interpreter to help you fully participate in court proceedings, please contact the court immediately to make arrangements. Signature Date CERTIFICATE OF MAILING I certify that on this date I served a copy of this motion on the parties or their attorneys by first-class mail addressed to their lastknown addresses as defined in MCR 2.107(C)(3). Date MC 276 (3/08) Signature MOTION TO REMOVE CASE FROM MEDIATION MCR 2.410(E), MCR 3.216(D) American LegalNet, Inc. www.FormsWorkflow.com