Order Referring Parties To Family Mediation Form - The Thirteenth Judicial Circuit Court For Hillsborough County, Florida

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THE THIRTEENTH JUDICIAL CIRCUIT COURT FOR HILLSBOROUGH COUNTY, FLORIDA
FAMILY DIVERSION
Petitioner,
CASE NO.:
DIVISION:
and
Respondent.
________________________/
ORDER REFERRING PARTIES TO FAMILY MEDIATION
It is appearing on the pleading the above-captioned case is a contested family action appropriate for
mediation; it is hereby,
ORDERED that the parties are referred to mediation for resolution of this case, pursuant to Chapter
44, Florida statutes and Rule 1.700, Florida Rules of Civil Procedure.
Issues to be addressed in mediation
are_____________________________________________________________________________________________
The parties are referred to:
___ Private Mediator ___ Family Diversion Mediator
The court has further determined: (Check One)
__ 1. The parties shall share in the expense of mediation.
__ 2. The _____________________ is/are unable to pay any portion of the mediation fee.
(Petitioner/Respondent/parties)
__ 3. The mediation fee and the administrative fee shall be waived due to the parties’ financial status.
Attorney for Petitioner:
Attorney for Respondent:
If not represented please provide:
Petitioner’s Address
Respondent’s Address:
Moreover, the procedures set forth on the reverse side of this order are made in part of and incorporated into
this order in reference, and all parties shall be bound by them as if fully set forth herein.
Failure to comply with the terms of this Order may result in involuntary dismissal, default judgment, or other
sanctions as provided by law.
All correspondence related to mediation of this case with the exception of motions to the court, shall be
submitted to Mediation & Diversion Services.
It is further ORDERED AND ADJUDGED:
That any orders in conflict herewith pertaining to Family Mediation are hereby superseded by this order.
DONE AND ORDERED in Chambers in Tampa, Florida, this _____ day of ____________________, 20
.
____________________________________
CIRCUIT JUDGE
Copies:
Both Parties
Mediation & Diversion Services, 800 E. Twiggs Street., Room 208, Tampa, Fl. 33602
Counsel for the parties
Print Form
Original-Law File; Blue-Petitioner; Green-Respondent; Yellow-Attorney for Petitioner; Pink-Attorney for Respondent; Goldenrod-Family Diversion

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