Mariposa — Exparte Request Disqualify CCRC -EXPARTE-001

Source: https://www.mariposa.courts.ca.gov/files/EXPARTE-001-%20ExParte%20Request%20Disqualify%20CCRC.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : FOR COURT USE ONL Y

TELEPHONE NO.: FAX NO.(Optiona1): E-MAIL ADDRESS (Optional) : ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE:

PETITIONER:

RESPONDENT:

CLAIMANT:

CASE
EX-PARTE REQUEST AND ORDER RE: DISQUALIFICATION NUMBER:
OF CHILD CUSTODY RECOMMENDING COUNSELOR

1 ) I am the ☐ Petitioner ☐Respondent ☐Other in the action herein.

2. I move to disqualify to act as Mediator or Evaluator in the matter herein for the following reasons:

   a) Conflict of Interest. Please state all facts which support this claim. You may attach additional pages as needed.

   b) Other. Please state all facts which support this claim. You may attach additional pages as needed.

Dated: ________________________________ Petitioner/Respondent/Other

Local Form for Optional Use Page 1 of 2
Mariposa Superior Court

EX Parte-001 [updated March 2020]

ORDER:

The Court hereby:

☐ Denies the Order requested.

☐ Grants the Order requested.

Dated: ________________________________ Judge of the Superior Court

Local Form for Optional Use Page 1 of 2 Mariposa Superior Court EX Parte-001 [updated March 2020]