Placer — Private CCRC Stipulation and Order

Source: https://www.placer.courts.ca.gov/sites/default/files/PL-FCS003%20-%20Private%20CCRC%20STIPULATION%20AND%20ORDER_July%201%2C%202023%20%28Final%29.pdf

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER Superior Court of California, County of Placer FOR COURT USE ONLY 10820 Justice Center Drive 2501 N. Lake Blvd. P. O. Box 619072 P.O. Box 5669 Roseville, CA 95661-9072 Tahoe City, CA 96145

Petitioner:

Respondent:

STIPULATION AND ORDER FOR PRIVATE CHILD CUSTODY CASE NUMBER:
RECOMMENDING COUNSELING (CCRC)

The parties understand and agree that by their signature below they are agreeing to the issuance of an Order by the Court for the appointment of a Private Child Custody Recommending Counselor to mediate the custody and visitation issues pursuant to the provisions of the Family Code sections listed below in item 11 and the Placer County local rules. The parties understand that this process is at their own expense.

THEREFORE, it is hereby stipulated and agreed to by the parties that they will participate in Private Child Custody Recommending Counseling.

1. Have the parties participated in Family Court Services (FCS) Mediation or CCRC before? Yes No If Yes, when and with whom?

2. Is there a current Domestic Violence Restraining Order? Yes No (If Yes, attach a copy of the order)

3. Is there an existing court order for custody/visitation? Yes No (If Yes, attach a copy of the order)

4. Names and birthdates of the child(ren) involved in this CCRC: DOB: F M DOB: F M DOB: F M

5. Parties agree that will be appointed as the Private Child Custody

Recommending Counselor.

6. The Private Child Custody Recommending Counselor may have access to pertinent information, such as: (1) Child Protective Services history; and/or (2) prior Placer Family Court Services reports, and (3) prior private CCRC reports regarding the above-named child(ren) and shall keep such information confidential as required by law.

7. The Private Child Custody Recommending Counselor may confer with any court-appointed private and/or Family Court Services Mediator, Child Custody Recommending Counselors and any court- appointed custody evaluator involved in the case.

8. The CCRC session and resulting report will be performed in accordance with the laws of the State of California, including but not limited to California Rules of Court 5.210, 5.215, California Family Code sections 3177, 3178(a), 3180, 3181(a), 3182, 3183, 3184, and 3185(a) which may be found at www.leginfo.ca.gov/calaw. Placer County local rules may be found at www.placer.courts.ca.gov.

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Form Adopted for Mandatory Use www.placer.courts.ca.gov Superior Court of California, County of Placer Page 1 of 2 Form No. PL-FCS003 Effective 07-01-2023

9. The Private Child Custody Recommending Counselor is authorized to have ex parte communication with counsel for the minor(s) before a recommendation is made pursuant to Family Code only if the parties stipulate or upon the order of the court.

10. The parties stipulate to share all fees: % payable by Petitioner and % payable by Respondent. The Court shall have the ability to reallocate the CCRC fees at a later date: Yes No

11. The CCRC will attach a Declaration of Qualifications to their CCRC report.

12. The parties understand that this agreement will result in a court order and are aware they may consult with an attorney before signing below.

13. The parties declare they have read this Stipulation and Order and fully understand its contents. If either party is not represented by an attorney, his/her signature must be notarized or witnessed by Placer Superior Court staff.

It is so agreed:

Date: __________ _____________________________ Petitioner

Date: __________ _____________________________ Respondent

Date: __________ _____________________________ Attorney for Petitioner

Date: __________ _____________________________ Attorney for Respondent

IT IS SO ORDERED:

Date: __________ _____________________________ Judge of the Superior Court

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Form Adopted for Mandatory Use www.placer.courts.ca.gov Superior Court of California, County of Placer Page 2 of 2 Form No. PL-FCS003 Effective 07-01-2023