Computation Of Attorney Fees Form Page 58
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60Amount of claim (if applicable):
$__________________
Nature of claim: ______________________________________________________
Statement (please summarize your understanding of the dispute):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Are there any stalking, civil, or temporary protection orders in effect involving any of the parties, to the
best of your knowledge?
_____ Yes
_____ No
If yes, please state which type of order and whom it is against:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Are there any pending or prior domestic violence allegations involving any of the parties, to the best of
your knowledge?
_____ Yes
_____ No
If yes, please state the specifics:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Have any of the parties been convicted of child abuse or domestic violence, relative to this case, to the
best of your knowledge?
_____ Yes
_____ No
If yes, please state the specifics:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Would you prefer to have someone accompany you if the matter is mediated?
_____ Yes
_____ No
If yes, please state the person’s name, full contact information, and relationship to you and describe how
that person will be of help to you in the mediation:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal