IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN ) ) ) ) ) ) _____________________________________ ) PETITIONER, ) AND ) ) _____________________________________ ) RESPONDENT, ) IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY PROCEEDING OTHER Case No.________________________ MOTION FOR ORDER TO WAIVE MEDIATION WAIVE CO-PARENTING CLASS INITIATE MEDIATION I, Petitioner Respondent, request this court to allow an, Order to Waive Mediation, Order to Waive Co-Parenting Class, Order to Initiate Mediation based on the attached affidavit. Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to _____________________________ for assistance in preparing this form. DATED this _______ day of ____________________, 20_____. ______________________________ ____________________________________ Petitioner/ Respondent Signature Print Name ____________________________________________________________________ Address or Contact Address City, State, Zip Contact Telephone Page 1 of 1, MOTION FOR ORDER RE:MEDIATION/PARENTING CLASS LINN COUNTY (11/12) American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN ) ) ) ) ) ) _____________________________________ ) PETITIONER, ) AND ) ) _____________________________________ ) RESPONDENT, ) STATE OF OREGON County of Linn ) ) ss. IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY PROCEEDING OTHER Case No.________________________ AFFIDAVIT IN SUPPORT OF MOTION FOR ORDER TO WAIVE MEDIATION WAIVE CO-PARENTING CLASS INITIATE MEDIATION I, Petitioner Respondent, being first duly sworn, say that the following is true: Custody and Parenting time issues are are not in dispute. Other Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to _____________________________ for assistance in preparing this form. Dated: ________________________, 20____. ______________________________ _____________________________________ Petitioner, Signature Print Name SIGNED AND SWORN to before me this ______ day of ______________, 20_____, by _________________________________________________. _______________________________ Notary Public for ____________/Court Clerk My Commission Expires: ______________ Page 1 of 1, AFFIDAVIT IN SUPPORT OF MOTION FOR ORDER RE:MEDIATION/PARENTING CLASS LINN COUNTY (11/12) American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY PROCEEDING OTHER _____________________________________ PETITIONER, AND _____________________________________ RESPONDENT, ) ) ) ) ) ) ) ) ) ) ) ) Case No.________________________ ORDER TO WAIVE MEDIATION WAIVE CO-PARENTING CLASS INITIATE MEDIATION COME NOW THE COURT, upon consideration of Local Trial Court, Chapter 8, and finds that the above matter has been filed in Linn County Circuit Court, and that the matter involves a potential controversy over custody or parenting time of minor children and is therefore subject to mediation. Based upon the Motion and Affidavit of the Petitioner Respondent on file herein, the request for and an, Order to Waive Mediation, Order to Waive Co-Parenting Class Order to Initiate Mediation is hereby: Allowed Denied DATED this ____ day of ______________, 20______. __________________________________ Circuit Court Judge __________________________________ Print Name Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to _____________________________ for assistance in preparing this form. Dated: ___________________, 20______. Submitted by: ___________________________________ ________________________________________ Signature Print Name ___________________________________________________________________________ Address or Contact Address City, State, Zip Contact Telephone Page 1 of 1, ORDER RE:MEDIATION/PARENTING CLASS LINN COUNTY (11/12) American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN ) ) ) ) ) ) ) ____________________________________ ) PETITIONER, ) AND ) ) ____________________________________ ) RESPONDENT. IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY PROCEEDING OTHER Case No. _________________________ CERTIFICATE OF MAILING I certify that on _____________________________, 20_______, I mailed a true copy of the Motion and Affidavit for Order to Waive Mediation, Order to Waive Co-Parenting Class Order to Initiate Mediation, filed in this case: to the other party directly, at the following address, because s/he has no attorney: ________________________________________________________________________________ to the other party=s attorney ___________________________________ at the following (Name of other party=s attorney) address: ______________________________________________________________________________ Mailing was done by first class mail and by certified or registered mail, return receipt requested, or express mail. Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document form myself, and I completed it without paid assistance. I paid or will pay money to _______________________ for assistance in preparing this form. Dated: _______________________, 20______. ___________________________________________ ________________________________________ Petitioner, Signature Print Name _____________________________________________________________________________________ Address or Contact Address City, State, Zip Contact Telephone Page 1 of 1, CERTIFICATE OF MAILING FOR MOTION AND AFFIDAVIT FOR ORDER RE:MEDIATION/PARENTING CLASS LINN COUNTY (11/