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Questionnaire (For Mediator From Parties) Form. This is a New Mexico form and can be use in 11th Judicial District Local District Court.
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Tags: Questionnaire (For Mediator From Parties), New Mexico Local District Court, 11th Judicial District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
Q U EPlaintiff(s)N N A I :R E JUDICIAL SUBPOENA
STIO
-against-
:
NAME: ________________________________________DATE: _________________
:
Address: ______________________________________ Home Phone: ____________
:
City: ____________________________ Zip: __________Work Phone: ____________
Defendant(s)
:
......................................................
ATTORNEY: ___________________________________ Phone: ________________
Address: ________________________________________
THE PEOPLE OF THE STATE OF NEW YORK
City: _____________________________Zip: ___________
TO
INSTRUCTIONS:
This is a quicker way to know you better. The questions have many
possible answers and there are no right or wrong responses. Please respond briefly and
honestly.
GREETINGS:
WE COMMAND YOU, that all business and excuses being laidresponding to these you attend before
THE CHILDREN:
Please consider each child separately in aside, you and each of
,
the Honorable Only the children involved in theat the
Court
questions.
custody or time-sharing dispute need to be
located at
County of
considered in these responses.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
orChild(ren) date, to testify and give evidence as a witness in this action on the part of the
adjourned involved:
Name ____________________________________ Age _____________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party ____________________________________ Agepenalty of $50 and all damages sustained as a
Name on whose behalf this subpoena was issued for a maximum _____________
result of your failure to comply.
Name ____________________________________ Age _____________
Witness, Honorable
, one of the Justices of the
Court in ____________________________________ Age _____________
County,
day of
, 20
Name
1.
Describe each of your children's personalities. What do you like and dislike about
them? What do you see as their strengths and(Attorney must sign above and type name below)
weaknesses?
Attorney(s) for
2.
How, and for what, do you discipline your children?
3.
How do you think your children will be, or have Office and P.O. Address divorce?
been, affected by the
1
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
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:
4.
Index No.
Calendar No.
How do you rate yourself as a parent? What are :your strengths andSUBPOENA
JUDICIAL weaknesses?
Plaintiff(s)
-against-
:
:
5.
How do you rate your (former) spouse as a parent? What are his/her strengths and
:
weaknesses?
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF their custody is being disputed or that there is a time-sharing
6.
Do your children know NEW YORK
TO
problem? What have you told them about it?
GREETINGS:
7.
What custody/time-sharing arrangements do you think would be most beneficial to
each child? Why?
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
8.
What reasons do you expect your (former) spouse will give as to why you should not
be given custody of the children or should not have more time with them?
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 this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
YOUR Witness, Honorable
HISTORY:
Court in
9.
County,
, one of the Justices of the
day of
, 20
How is your health, both mental and physical? Do you have any problems that have
required long or continuous health care?
(Attorney must sign above and type name below)
10.
Are you employed? If so, what is your job and how do you like it? What do you like
Attorney(s) for
most and least about your work?
11.
Office and P.O. with?
Since your separation or divorce, who have the children livedAddress Please give
dates.
2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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12.
Index No.
Calendar No.
Do you or does your (former) spouse have other :children? If so, please give their
JUDICIAL SUBPOENA
Plaintiff(s)
names, ages, and where they live.
-against-
:
:
:
13.
Do any of the children have emotional or physical problems? What doctors or
Defendant(s)
:
therapists have cared for them?
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
14.
TO
Residence History: Please list the residences at which you have lived since the
birth of the oldest child involved in this dispute. Start with your present address and
work backwards. Please give the dates for each address.
GREETINGS:
15. WE COMMAND YOU, that all business list your employmentaside, you and each often attend before
Employment History:
Please and excuses being laid history for the last you
,
the Honorable
at work
Court
years. Start with your present job andthe backwards.
located at
County of
Job
Employer
Dates
Reason for Leaving
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
16.
Marital History:
Please list the times you have been married. Begin with the
present and comply with this subpoena is punishable as a contempt of court and will make you liable to
Your failure to work backwards.
the party on whose behalf this subpoena was issued for a Dates
maximum penalty of $50 and all damages sustained as a
Spouse's Name
Number of Children
result of your failure to comply.
Witness, or does your (former) spouse, have any emotional, or physical health the
one of the Justices of
Do you, Honorable
Court in problems? County,please state the problem and if, how, and when it was resolved.
day of
, 20
If so,
17.
(Attorney must sign above and type name below)
18.
Have you, or has your (former) spouse, ever had a drinking or drug abuse problem?
If so, please describe the problem and if, how, and when it was resolved.
Attorney(s) for
19.
Do you, or does your (former) spouse, have a criminal record or any criminal
actions pending? If so, please state the offenses and sentences given.
Office and P.O. Address
20.
Are there allegations of abuse? If yes, please explain. Is there an investigation
3
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
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Index No.
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pending or completed?
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
21.
The New Mexico Statue defines joint legal custody as being a continuation of the
current situation. That is neither parent will make: a major change affecting the
child(ren) without consulting the other parent in the areas of religion, residence, nonemergency medical or dental care, education, or:major recreational activities.
Before such a change is made,Defendant(s) will discuss the matter, and both
the parents
:
. . . . . . . . parents.must. agree. . . . . . . . . . . . . . . . . . . . . . . . . . . .
....... .... ......
22.
The Status Quo - What you now have:
THE PEOPLE OF THE STATE CHILD #1
OF NEW YORK CHILD #2
CHILD #3
CHILD #4
TOName:
Date of Birth:
Age:
GREETINGS:
Residence:
WE COMMAND
(City & State Only) YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Religion:
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Doctor:
(Name & Phone to comply with this subpoena is punishable as a contempt of court and will make you liable to
No.)
Your failure
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Dentist:
(Name & Phone No.)
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
Child Care Provider
(Names & Phone No.)
(Attorney must sign above and type name below)
School:
(Name & Grade)
Attorney(s) for
Major Recreational
Activities:
Office and P.O. Address
Other:
4
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
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23.
Index No.
Calendar No.
With regard to each child just listed, please indicate the following, specify the child's
:
JUDICIAL SUBPOENA
Plaintiff(s)
name:
Special Needs -against- child such as learning disabilities, medical problems (like
of each
:
diabetes, epilepsy, heart problems, etc.), physical disabilities; etc.
:
Child 1 :
Defendant(s)
:
. . . . . . . . Child .2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..... .-
Child 3 THE STATE OF NEW YORK
THE PEOPLE OF TO
Child 4 GREETINGS: the child ever received any type of counseling? If yes, when and with whom?
Has
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Child 1 ,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Child 2 or adjourned date, to testify and give evidence as a witness in this action on the part of the
Child 3 -
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 this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Child 4 -
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
Has the child ever been abused by either parent?
Child 1 -
(Attorney must sign above and type name below)
Child 2 -
Attorney(s) for
Child 3 Office and P.O. Address
Child 4 -
5
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
