CSX1802 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: In Re the Marriage of: Petitioner (first, middle, last)and Respondent (first, middle, last) Intervenor Request to Remove Child Support Magistrate for CauseTO: Other Party or Attorney if Represented First Middle Last Street Address Apt. No. City State Zip CodeCounty Attorney's Office: Name of County Attorney Street Address Suite No. City State Zip CodePursuant to Expedited Child Support Process Rule 368.02, I (name of party making request) (Name - continued), request the removal of (Name of Child Support Magistrate)from presiding in these proceedings in the expedited child support process. American LegalNet, Inc. www.FormsWorkFlow.com CSX1802 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 2The reason I request removal is as follows: (You must explain why the Judicial Officer assigned to your case is prejudiced in presiding over your case): Dated: Signature Name: Address: City/State/Zip: Telephone: E-mail address: Attorney for: American LegalNet, Inc. www.FormsWorkFlow.com