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

TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. MAIN STREET EL CENTRO, CA 92243

PETITIONER:

RESPONDENT:

CASE MANAGEMENT QUESTIONNAIRE CASE NUMBER:

INSTRUCTIONS: This form must be filed and served at least 20 calendar days before the Case Management Conference. If you are representing yourself, you must have someone over the age of 18, other than yourself; mail a completed copy of this form to the opposing attorney or party at least 20 days before the Case Management Conference. A Proof of Service form should be attached to the original form that is filed with the court. PLEASE BE SURE TO BRING A COPY OF THE COMPLETED FORM AND PROOF OF SERVICE WITH YOU TO THE CASE MANAGEMENT CONFERENCE.

1. PARTIES AND ATIORNEYS. I am Petitioner Respondent Other: _____________ a. I am am not represented by an attorney. b. The other party is is not represented by an attorney. c. The address of the other party/party’s attorney is: Name: ________________________________________________________________________________ Address: ______________________________________________________________________________ City/State/Zip Code: ____________________________________________________________________ Telephone Number: ____________________________________________________________________

2. NATURE OF CASE. a. Have the parties reconciled .… … … … … … … … … … … … … … … … . . . . Yes No b. Has the Respondent been served with the Summons and Petition …………………….. Yes No c. Do the parties expect to make an agreement ……………………………………………. Yes No d. Has this case settled……………… Yes No Judgment will be filed on/before: ______________ e. Parties working on an agreement and request the CMC be continued………….............. Yes No f. Has the Petitioner served Respondent with Disclosure Documents …………………..... Yes No g. Has the Respondent served Petitioner with Disclosure Documents …………………… Yes No h. Have the parties had a meeting to try and settle all issues ………………………….…. Yes No i. Are the parties involved in any private mediation …………………………………….... Yes No

   Form Approved for Optional Use www.imperial.courts.ca.gov FL-03 (Adopted 07/01/07, Revised 01/01/11, 01/01/13, 01/01/16) CASE MANAGEMENT QUESTIONNAIRE Page 1 of 2