Solano — Declaration in Support of Request for Separate Mediation Sessions

Source: https://solano.courts.ca.gov/system/files/form_1320_rev_01-01-12.pdf

SUPERIOR COURT OF CALIFORNIA COUNTY OF SOLANO

FAMILY LAW AND PROBATE DIVISION
Fairfield Branch Vallejo Branch
600 Union Avenue 321 Tuolumne Street
Fairfield, CA 94533 Vallejo, CA 94590
(707) 207-7340 (707) 207-7340

In re the Matter of Case No. __________________ PETITIONER: ______________________________ and DECLARATION IN SUPPORT RESPONDENT: _____________________________ OF REQUEST FOR SEPARATE CHILD CUSTODY RECOMMENDING COUNSELING SESSIONS (CCRC)

I declare that I am a victim of domestic violence as defined in Family Code §6211, to wit:

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Child Custody Recommending Counseling (CCRC) having been ordered in this action, I hereby

request that I be allowed to meet with the Child Custody Recommending Counselor (CCRC) separately and at a separate time, pursuant to the provisions of Family Code §3181.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true

and correct.

DATE: __________________________ ____________________________________ SIGNATURE OF DECLARANT

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DECLARATION IN SUPPORT OF REQUEST FOR SEPARATE CCRC SESSIONS

Form no. 1320 Rev. 01-12 Page 1 of 1