Placer — Request for Additional Family Centered Case Resolution Status Conference

Source: https://www.placer.courts.ca.gov/sites/default/files/pl-fl019.pdf

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER

ATTORNEY OR PARTY WITHOUT ATTORNEY FOR COURT USE ONLY (Name, State Bar Number, and Address):

TELEPHONE NO.: FAX NO.: EMA I L ADDRESS: SU PERIOR COURT OF CALIFORNIA, C OUNTY OF PLACER 10820 Justice Center Drive 2501 N. Lake Blvd. P.O. Box 619072 P.O. Box 5669 Roseville, CA 95661-9072 Tahoe City, CA 96145 Fax to: (916) 408-6285 Fax to: (530) 584-3471 PETITIONER:

RESPONDENT: REQUEST FOR ADDITIONAL FAMILY CENTERED CASE CASE NUMBER: RESOLUTION STATUS CONFERENCE

TO THE CLERK OF THE COURT:

I request that this case be set for a Status Conference.

Below are 3 Fridays that I am available for the Status Conference:

1. ---

2. ---

3. ---

DATE: ___________________ Signed: _______________________________________ ☐Attorney ☐Party

FOR COURT USE ONLY

Set for Status Conference:

DATE: __________________ Time: __________________ DEPT. __________________

☐Notice mailed to ___________________________________________________ at address on file on:

//20________

☐Submitting party was provided notice at the front counter on:

//20________ ______________________________ Deputy Clerk

Form Adopted for Optional Use www.placer.courts.ca.gov Superior Court of California, County of Placer Form No. PL-FL019 Effective 08-13-2021