4A-205. Motion for referral to mediation (child support or other financial issues) (domestic relations actions). [For use with Rules 1-124 and 1-125 NMRA] STATE OF NEW MEXICO COUNTY OF ___________________________ ____________________ JUDICIAL DISTRICT _______________________________________, Petitioner, v. _______________________________________, Respondent. MOTION FOR REFERRAL TO MEDIATION (CHILD SUPPORT OR OTHER FINANCIAL ISSUES) (domestic relations actions)1 I, ____________________ (name of Petitioner or Respondent), request the Court to refer the following matters in this case to mediation: [ [ [ [ [ ] ] ] ] ] division of property; division of income and debts; child support; spousal support; or other: ________________________________________________________. No. _________________ I have tried to talk to _____________________________ (name of the other party or the other party's attorney if represented). This is what happened: (You MUST check one of these boxes.) [ ] The other party AGREES with my motion. [ ] The other party DOES NOT AGREE with my motion. [ ] The other party WILL NOT TALK TO ME about my motion. [ ] I CANNOT TALK TO THE OTHER PARTY because there is a protective order between us and the other party does not have a lawyer. [ ] I HAVE NOT TALKED TO THE OTHER PARTY because: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________. __________________________________________ Signature of party American LegalNet, Inc. www.FormsWorkFlow.com __________________________________________ Name (print) __________________________________________ Mailing address (print) __________________________________________ City, state, and zip code (print) ___________________________________________ Telephone number VERIFICATION OF SERVICE I affirm under penalty of perjury under the laws of the State of New Mexico that on _____________ (date), I (check the applicable item below and fill in all information) [] mailed a copy of this motion by United States mail, postage prepaid, to: Name: ____________________________________________________________ Mailing address: ____________________________________________________ City, state, and zip code: _____________________________________________; delivered a copy of this motion to ________________________ (the other party or the other party's attorney); or faxed a copy of this motion to _____________________ (the other party or the other party's attorney) using the following fax number: ___________________. The transmission was reported as complete and without error. The time and date of the transmission was _______ (a.m) (p.m) on _______________ (date). __________________________________________ Signature of party __________________________________________ Date of signature USE NOTE 1. This form may be used anywhere in this state to request the court to refer a case to mediation regarding matters other than child custody, timesharing, or visitation in a domestic relations action. [Approved by Supreme Court Order No. 13-8300-010, effective for all pleadings and papers filed on or after May 31, 2013, in all cases pending or filed on or after May 31, 2013; as amended by Supreme Court Order No. 14-8300-011, effective for all pleadings and papers filed on or after December 31, 2014, in all cases filed or pending on or after December 31, 2014.] [] [] American LegalNet, Inc. www.FormsWorkFlow.com