Tuolumne — TUO-FL-150

Source: https://www.tuolumne.courts.ca.gov/system/files/forms-and-filings/tuo-fl-150.pdf

TUO-FL-150 SUPERIOR COURT OF CALIFORNIA Space below for use of Court Clerk only COUNTY OF TUOLUMNE 12855 Justice Center Drive Sonora, CA 95370 Phone: (209) 533-6565

Petitioner: Petitioner’s Attorney:

Defendant: Defendant’s Attorney: Case Number: Other Parent: Other Parent’s Attorney: Court Ordered REPORT ON MEDIATION Telephone Mediation TO THE JUDGE OF THE SUPERIOR COURT: The above matter was scheduled for mediation on ______________________. The results are as follows:

Orientation
The defendant did not attend. The other parent did not attend.
Neither party attended. Both parties attended.
Waived by court. Previously attended.

Mediation
A full agreement was drafted, signed by the parties, and sent to court. All stipulations were reviewed
and agreed on.
A partial agreement was drafted, signed by the parties, and sent to court. Stipulations have been
reviewed and agreed on.
The parties agree to have their agreement submitted to the court for consideration, with a list of
unresolved issues. There will NOT be a statement about each party’s position on the unresolved
issues.
The full/partial agreement was drafted, but not signed, and sent to court. Stipulations have been
reviewed and agreed on.
No agreement was reached in mediation.
Defendant failed to attend.
Other parent failed to attend.
Both parties failed to attend.
Other:
Other:

Date: _____________________ Mediator’s Signature: ____________________________________

Date: _____________________ Defendant’s Signature: ____________________________________

Date: _____________________ Other Parent’s Signature: ____________________________________ Notes: ________________________________________________________________________________

cc: Parties and/or Attorneys REPORT ON MEDIATION

---

Form Adopted for Mandatory Use - Local Rules of the Superior Court of California Page 1 of 1 TUO-FL-150 (Revised July, 2025)