STATE OF NORTH CAROLINA Harnett County File Number In The General Court Of Justice District Court Division Name of Plaintiff(s) VERSUS Name of Defendant(s) MOTION TO SHOW CAUSE FOR FAILURE TO APPEAR AND COMPLY WITH CUSTODY MEDIATION The undersigned hereby moves this Court for an Order pursuant to N.C.G.S.§5A-23, stating that: 1. In a Notice and Order of Custody Mediation dated , 20 the Plaintiff Defendant was required to participate in Custody Mediation by attending an Orientation/Mediation session on , 20 . 2. Said party failed to comply with the Notice and Order by failing to appear for the above Orientation/Mediation session. Upon information and belief, said failure was willful and without justification or excuse. WHEREFORE, the undersigned prays that this Court order said party to appear and show cause, if any, why he/she should not be held in contempt of court. Date: __________________________________________ Custody Mediator CERTIFICATE OF SERVICE I certify that a copy of this Motion was served: By depositing a copy enclosed in a postpaid properly addressed wrapper in a post office or official depository under the exclusive care and custody of the U.S. Postal service directed to: Plaintiff Defendant Plaintiff's attorney Defendant's attorney Delivering a copy to official depository at courthouse or personally to: Plaintiff Other: Date: _____________________________________________ Custody Mediator Defendant Plaintiff's attorney Defendant's attorney Dom-7 (rev. 10/2014) District 11 ­ Custody Mediation American LegalNet, Inc. www.FormsWorkFlow.com