NORTH CAROLINA COUNTY OF WAKE IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. ___________________________ Assigned Judge:_______________________ ___________________________________, Plaintiff, v. ___________________________________, Defendant. MOTION FOR REVIEW OF PARENTING COORDINATOR’S DECISION (N.C.G.S. § 50-92) NOW COMES THE UNDERSIGNED and moves this Court pursuant to N.C. Gen. Stat. §50-92 for an expedited hearing to review a decision made by the Parenting Coordinator appointed in this case. In support of this Motion, the undersigned shows as follows: 1. __________________________, was appointed to serve as the Parenting Coordinator in this case by order entered on _________________, 20_____. 2. On or about ___________________________, 20______, the Parenting Coordinator made a decision concerning an issue that was brought to the attention of the Parenting Coordinator by one or both of the parties, and the undersigned seeks judicial review of this decision. 3. The specific decision for which the undersigned seeks review is (state with particularity the issue submitted to the PC for determination and the resulting decision): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4. The undersigned seeks review of the aforesaid decision because (state with particularity the reasons for the review): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ WHEREFORE, the undersigned seeks expedited review of the afore-stated decision(s) and for such further relief as to which the undersigned may be entitled. This the _____ day of __________________________, 20_______. __________________________________________________ Plaintiff Defendant Attorney for Plaintiff Attorney for Defendant Parenting Coordinator WAKE-DOM-15 Page 1 of 2 (02/10) American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I hereby certify that a copy of this Motion for Review of Parenting Coordinator’s Decision has been served on all parties/counsel, parenting coordinator, 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 Parenting Coordinator WAKE-DOM-15 Page 2 of 2 (02/10) American LegalNet, Inc. www.FormsWorkFlow.com