San Benito — SB-FL-2

Source: https://www.sanbenito.courts.ca.gov/system/files/forms-and-filings/sb-fl-2-stipulation-mediation.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): For Court Use Only

TELEPHONE NO:

ATTORNEY FOR (NAME)

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BENITO 450 Fourth Street Hollister, CA 95023

Plaintiff/Petitioner:

Defendant/Respondent: STIPULATION AND ORDER TO CHILD CUSTODY AND CASE NO: VISITATION MEDIATION EX PARTE APPLICATION FOR ORDERS

Petitioner and Respondent Stipulate to attend mediation regarding the custody and visitation of their minor child(ren).

Dated: __________________ _______________________________________________ Petitioner _______________________________________________ Address of Petitioner

Dated: __________________ _______________________________________________ Respondent _______________________________________________ Address of Respondent

Dated: __________________ _______________________________________________ Attorney for Petitioner (if represented) Dated: __________________ _______________________________________________ Attorney for Respondent (if represented)

ORDER

Based on the Stipulation of the parties, they are Ordered to participate in child custody and visitation mediation.

-Your Mediation appointment is set for ________________ at ______________ am pm

-Both Parties must attend mediation.

-Each party must complete an “Intake form” before mediation. Mediation Intake forms can be found on our website at https://www.sanbenito.courts.ca.gov/self-help/family-law-mediation.

Form adopted for Optional use STIPULATION AND ORDER TO CHILD CUSTODY AND VISITATION Local Court Form SB-FL2 [August 2024]