Fillable INSTRUCTIONS FOR COMPLETING THE REQUEST AND ORDER FOR (Family Law Self Help Center)

Fill Online, Printable, Fillable, Blank INSTRUCTIONS FOR COMPLETING THE REQUEST AND ORDER FOR (Family Law Self Help Center) Form

Use Fill to complete blank online FAMILY LAW SELF HELP CENTER pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

INSTRUCTIONS FOR COMPLETING THE REQUEST AND ORDER FOR (Family Law Self Help Center)

On average this form takes 10 minutes to complete

The INSTRUCTIONS FOR COMPLETING THE REQUEST AND ORDER FOR (Family Law Self Help Center) form is 2 pages long and contains:

  • 0 signatures
  • 9 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Family Law Self Help Center forms online.

BROWSE FAMILY LAW SELF HELP CENTER FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
T:\Family SHC\01 FORMS\Common Forms\request-and-order-for-fmc.docx (Rev. 06/18/19)
INSTRUCTIONS FOR COMPLETING THE
REQUEST AND ORDER FOR MEDIATION
(These instructions were developed by FMC to assist in preparing the
Request and Order and moving it through the correct channels in a timely manner.)
Please read these instructions carefully before completing the
request:
1. The request must be filled out completely. The Plaintiff and
Defendant will be the same as all your original court documents.
Complete and correct mailing and e-mail addresses on both
parties are mandatory. The date and signature line for the judge
are the only items that need to be left blank.
2. Once the request is completed, take it to the third floor of the
Family Courts and Services building. Place the form in the correct
department’s box.
3. To have the request returned to you as quickly as possible, once
the form is signed by the judge, you must pick it up. Place a note
on the request informing the department that you will pick it up
once it is signed. When you pick up the signed form, take it to the
kiosk on the first floor of the Family Courts and Services building
to file the request electronically. A file-stamped copy will be
provided to you.
4. Once you receive the file-stamped copy, you must bring it to FMC
and complete a FMC Data Sheet so that a mediation appointment
can be scheduled. You must also send a copy of the file-stamped
request by certified mail or return receipt requested mail to the
other party.
T:\Family SHC\01 FORMS\Common Forms\request-and-order-for-fmc.docx (Rev. 06/18/19)
FMCO
DISTRICT COURT
FAMILY DIVISION
CLARK COUNTY, NEVADA
Plaintiff )
) Case No.
-vs- )
) Department
Defendant )
)
FAMILY MEDIATION CENTER (FMC) REQUEST AND ORDER FOR MEDIATION – NRS 3.475
Pursuant to Nevada Revised Statute 3.475 the district court shall establish a program of mandatory mediation in cases that
involve the custody or visitation of a child. Once this request is submitted to FMC, a mediation appointment will be
scheduled. FMC will send notice of the scheduled mediation appointment to both parties using the information provided
below. Please print as clearly as possible.
The party completing this request must make sure that a copy signed by the judge is sent to the other party by
certified mail or return receipt requested mail and that a file-stamped copy is delivered to FMC. If the party
completing this request does not appear for the initial mediation appointment, FMC will close its case.
Printed Name of Party Completing this Request:
Non-financial issue(s) that need(s) to be mediated: (Check all that apply)
Legal Custody Timeshare (physical custody) Vacation
Holidays & celebrations Transportation & exchanges
If either party needs an interpreter, language must be listed:
PLAINTIFF INFORMATION:
Name: Cell Phone:
Address: Home Phone:
Best time for a
pp
t? AM □ PM □
Email: Best day for appt? (M-F)
Attorney’s Name:
Atty’s Number:
DEFENDANT INFORMATION:
Name: Cell Phone:
Address Home Phone:
Best time for appt? AM
□ PM □
Email: Best day for appt? (M-F)
Attorney’s Name:
Atty’s Number:
CHILD(REN) INFORMATION [First & Last Name and Date of Birth (DOB)]:
Name: DOB: Name: DOB:
Name: DOB: Name: DOB:
Court Use Only
Ordered and dated this _____ day of ______________, 20___.
District Judge
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

INSTRUCTIONS FOR COMPLETING THE REQUEST AND ORDER FOR (Family Law Self Help Center)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 15 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document