NORTH CAROLINA COUNTY OF WAKE IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. ____________________________ Assigned Judge:_______________________ ___________________________________, Plaintiff, v. ___________________________________, Defendant. CALENDAR REQUEST Date Requested:____________________ Total Court Time Required:______________ (for both sides) The above case is ready and should be set for the following purpose: Type of Setting: (choose all that apply) S & D Conference (ED) Temporary Hearing Emergency/TRO 10-day return Initial Pretrial Conference (ED) Trial/Hearing Final Pretrial Conference (ED) Other: ____________________________________ A jury trial was demanded in the pleadings for the following issues: ________________________ Issue(s) to be heard at this setting: (choose all that apply) Child Support Attorney's Fees Custody/Visitation Equitable Distribution Post-Separation Support Interim Distribution Alimony Divorce (w/incorporation of Separation Agreement) Show Cause/Contempt Modification (must also choose: Custody/Visitation, Child Support or Alimony) Other: _________________________________________________________________________ Interpreter required for hearing? No Yes Language spoken ________________________ Discussion with opposing party concerning hearing: (must choose at least one box) I have consulted with the opposing party and he/she consents objects to this hearing date. Reason for objection (if known): ______________________________________________________ _________________________________________________________________________________ I attempted to contact the opposing party by telephone facsimile email first class mail (check all that apply) on _________________________________________________ (insert date(s)) and have not received a response regarding this date. This the _____ day of __________________________, 20_______. ________________________________________________________ Plaintiff Defendant Attorney for Plaintiff Attorney for Defendant Daytime Telephone Number: _____________________ Email Address: ________________________ WAKE-DOM-04 Page 1 of 2 (Rev. 09/13) American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I hereby certify that a copy of this Calendar Request has been served on the opposing party/counsel and the assigned Family Court Case Coordinator in the following manner: By depositing a copy in the US Mail in a properly addressed, postpaid envelope to: ____________ _________________________________________________________________________________ _________________________________________________________________________________ By hand delivery to: _____________________________________________________________ _________________________________________________________________________________ By facsimile to: _________________________________ Fax No.: _______________________ Other: ________________________________________________________________________ _________________________________________________________________________________ Date: _____________ ________________________________________________________ Plaintiff Defendant Attorney for Plaintiff Attorney for Defendant WAKE-DOM-04 Page 2 of 2 (Rev. 09/13) American LegalNet, Inc. www.FormsWorkFlow.com