Revised 2/2020
(13) If mediation is not appropriate, why not? (Be specific; simple opposition is not sufficient.)
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(14) Please mark the appropriate selection regarding mediation:
Selected by parties. Mediator’s name:
Request Dispute Resolution Center of West Michigan – Fees Determined for each
party based on a sliding scale.
Court selected through ADR Clerk.
* Refer to www.accesskent.com/Courts/17cc/mediate.htm for a list of court appointed
mediators and their mediation rates.
(15) Have you and opposing counsel (or the opposing party, if not represented by counsel)
consulted about this form and attempted to reach a joint agreement about what issues
(including mediation) are settled or in dispute? If not, specifically explain:
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ISSUES
(16)
Do you intend to seek a court order for a custody evaluation? yes no
(If you intend to seek a court order, a timely motion must be filed requesting