IN THE _________ _ COURT OF ____________ COUNTY, TENNESSEE ______________________________________________________________________________ __________________________________________ ) Plaintiff/Petitioner ) ) vs. ) Docket No. _____________ ) __________________________________________ ) Defendant/Respondent ) ______________________________________________________________________________ MOTION TO PREEMPT M EDIATION FOR CAUSE ______________________________________________________________________________ [ ] Plaintiff/Petitioner or [ ] Defendant/Respondent, ___________________________,moves this Honorable Court for leave to preempt mediation for cause and in support thereofavers the following: [ ] there is an applicable limiting factor under T.C.A. 36-6-406; or [ ] the petitioning parent is unable to afford the cost of the proposed mediation, unless such cost is waived or subsidized by the state; or [ ] The petitioning parent has just cause for preempting mediation as set forth below: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________Wherefore, the petitioning parent respectfully requests that this Honorable Court issue andOrder: a. Directing that no mediation shall be ordered in this case; and b. Granting the petitioning parent such other and further relief as this Honorable Court deems necessary and appropriate. Respectfully submitted, __________________________________________