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Report Connections Form. This is a North Carolina form and can be use in Mecklenburg (District 26) Local County.
Tags: Report Connections, CCF-52, North Carolina Local County, Mecklenburg (District 26)
STATE OF NORTH CAROLINA
IN THE GENERAL COURT OF JUSTICE
DISTRICT COURT DIVISION
FILE NO.:_________________
COUNTY OF MECKLENBURG
__________________________________________ )
)
__________________________________________ )
Plaintiff(s)
)
REPORT
)
)
)
__________________________________________ )
)
__________________________________________ )
Defendant(s)
)
vs.
(CONNECTIONS)
NOW COMES Connections and reports to the Court as follows:
This is an action under N.C.G.S. o 50 B o 50 o 7A in which an Order was entered on
___________________ , ________ , 20____ , requiring
o exchange for visitation
o supported visitation.
o
_______________
Did not appear for an Intake Appointment.
o
_______________
Did not deliver or pick-up the child(ren) on time.
o
_______________
Did not appear for the visit or return the child(ren) on time from the visit.
o
_______________
Stopped using Connections.
o
_______________
Did not cooperate with Connections, did not abide by their directives or did not abide by
the rules of the program.
o
Other. ___________________________________________________________________________________
More specifically, ______________________________________________________________________________
____________________________________________________________________________________________
o
The attached document is incorporated by reference.
Connections recommends:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Respectfully submitted, this the _______ day of _____________________ , 20_____.
CONNECTIONS
________________________________________
(Signature)
Sworn to and verified before me this
________ day of _________________ , 20_____.
_________________________________________
Notary Public
(SEAL)
My commission expires: _____________________
cc: _____ Counsel for all parties: __________________________________________________
_____ Children’s Law Center
_____ Parent Coordinator
CCF-52 (12/7/98)
American LegalNet, Inc.
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CCF-52 (12/7/98)
American LegalNet, Inc.
www.FormsWorkflow.com
ORDER
Based on the foregoing report, IT IS HEREBY ORDERED that:
o
This matter be scheduled for review in Courtroom __________ on _______________________,
(day)
___________________ , __________ , 20________ at _________ o’clock ________ a.m./p.m.
(month)
(date
(year)
o
This matter be scheduled for review and all persons copied with the above report be notified by the
TCA.
o
Contempt proceedings against ______________________ should be initiated by
_________________________.
o
No action be taken.
o
The o visitation exchange o supported visitation order presently entered in this matter is o stricken
o modified temporarily and pending further hearing, as follows:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
This the ________ day of ____________________, 20______.
________________________________
District Court Judge Presiding
cc: _____ Counsel for all parties: _______________________________________________
_____ Children’s Law Center
_____ Parent Coordinator
_____ Connections
_____ TCA
CCF-52 (12/7/98)
American LegalNet, Inc.
www.FormsWorkflow.com
