IN THE ____________________ COURT FOR ____________________ COUNTY, AT __________________________, TENNESSEE __________________________________, Plaintiff, vs. CIVIL ACTION/DOCKET NO.: __________________________________, Defendant ORDER FOR REDUCED FEE PARENTING EDUCATION The Court having ordered Plaintiff and Defendant to a parenting education seminar in accordance with T.C.A. §36-6-408, and the Court having determined that the [ ] Plaintiff and/or [ ] Defendant has/have filed the present case in forma pauperis, it is hereby ORDERED that the total fee for the [ ] Plaintiff and/or [ ] Defendant for attending the parenting education seminar will be set at $25.00 per parent per seminar; and it is further ORDERED that the [ ] Plaintiff in this case shall pay ______ toward the parenting education seminar fee and the [ ] Defendant in this case shall pay ______ toward the parenting education seminar fee. The balance of the [ ] Plaintiff's and/or [ ] Defendant's parent education seminar fee in this case shall be paid from the Divorcing Parent Education and Mediation Fund (T.C.A. §36-6-413) in accordance with Tennessee Supreme Court Rule 38; and it is further ORDERED that a copy of this order be forwarded to the parenting education seminar provider along with an Education Provider Claim for Reimbursement from Divorcing Parent Education and Mediation Fund (T.C.A. §36-6-413) for Reduced Fee Parenting Education; and it is further 9/05 American LegalNet, Inc. www.USCourtForms.com ORDERED that the parenting education seminar provider file a certificate of successful completion of the parenting education seminar with the Court; and it is further ORDERED that the parenting education seminar provider file a claim for the parenting education seminar fee with the Administrative Office of the courts with a completed Education Provider Claim for Reimbursement from Divorcing Parent Education and Mediation Fund (T.C.A. §36-6-413) for Reduced Fee Parenting Education attached to this Order. ENTER this _____________ day of ____________________, 20__. ___________________________________ JUDGE APPROVED FOR ENTRY: ____________________________________ Attorney for [ ] Plaintiff or [ ] Defendant ____________________________________ (Address) ____________________________________ (City/State/Zip) ____________________________________ (Phone) CERTIFICATE OF SERVICE I hereby certify that the foregoing has been delivered by U.S. Mail to the parties in this action or their attorney of record on this _______ day of ________________, 2003, as follows: _____________________ [ ] Plaintiff or [ ] Attorney _____________________ (Address) _____________________(City/State/Zip) _____________________ [ ] Defendant or [ ] Attorney __________________ (Address) ___________________(City/State/Zip) __________________________________ Clerk/Notary Public 9/05 American LegalNet, Inc. www.USCourtForms.com