COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : 1 CODE Plaintiff(s) 2 -against- Calendar No. : JUDICIAL SUBPOENA : 3 : 4 : 5 Defendant(s) : ...................................................... 6 IN THE FAMILY DIVISION 7 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA THE PEOPLE OF THE STATE OF NEW YORK IN AND FOR THE COUNTY OF WASHOE 8 TO ________________________________, 9 Plaintiff, 10 GREETINGS: 11 vs. 12 Case No. ________________________________, excuses being laid aside, you and each of you attend before Dept. No. WE COMMAND YOU, that all business and , the Honorable at the Court 13 Defendant. located at County of __________________________________/ , at in room , on the day of , 20 o'clock in the noon, and at any recessed 14 or adjourned date, to testify and give evidence as a witness in this action on the part of the PRIVATE MEDIATION REFERRAL ORDER 15 16 I swear under penalty of perjury that the foregoing is true. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whoseparties this subpoena was me, _____________________________, to conduct privatea 17 The behalf have contacted issued for a maximum penalty of $50 and all damages sustained as result of your failure to comply. 18 mediation. Witness, Honorable My qualifications as a Mediator are as follows: Court in County, day of , 20 19 , one of the Justices of the 20 _________________________________________________________________________ 21 _________________________________________________________________________ (Attorney must sign above and type name below) 22 _________________________________________________________________________ 23 _________________________________________________________________________ Attorney(s) for 24 _________________________________________________________________________ 25 _________________________________________________________________________ 26 _________________________________________________________________________ 27 _________________________________________________________________________ 28 Office and P.O. Address (Please attach another sheet if needed) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : JUDICIAL SUBPOENA Plaintiff(s) ________________________, 20____. -against- : I have read and understand Washoe District Court Rules 53 and 54, regarding : 3 4 Calendar No. I have set up an orientation and initial conference with the parties on the _____ day of : 1 2 Index No. mediation. : 5 Upon completion of mediation, I will provide to the Court a Mediation Report. If Defendant(s) 6 mediation was unsuccessful, I will immediately submit a report that mediation was 7 unsuccessful and, therefore, concluded. If mediation is successful, the parties’ agreement : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK 8 shall be reduced to writing, signed by the parties and submitted to the Court for approval within TO ten (10) days. 9 DATED this ______ day of _____________________________, 20____. 10 GREETINGS: 11 ________________________________ 12 Signature of Mediator ___________________________________ Address WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ________________________________the ___________________________________ , the Honorable at Court 13 Phone Number located at County of in room , on the day of 20 , noon, and 14 _____ The Court GRANTS the ,parties’ at request o'clock in the mediator. at any recessed for a private or adjourned date, to testify and give evidence as a witness in this action on the part of the 15 _____ The Court DENIES the parties’ request for a private mediator. 16 _____ There is a history of domestic violence. 18 _____ Other: ___________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf thisThere is a history of child abuse/neglect. $50 and all damages sustained as a 17 _____ subpoena was issued for a maximum penalty of result of your failure to comply. Witness, Honorable , one of the Justices of the 19 _________________________________________________________________________ Court in County, day of , 20 20 21 DATED this ______ day of _____________________________, 20____. (Attorney must sign above and type name below) 22 23 ______________________________ Attorney(s) for DISTRICT JUDGE 24 25 26 27 28 Office and P.O. Address Telephone No.: Facsimile No.: - 2 - E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com