Revised 2/2020
STATE OF MICHIGAN
THE CIRCUIT COURT FOR THE COUNTY OF KENT
(3) HON.
(1) Plaintiff, (4) CASE NO.
vs. SCHEDULING CONFERENCE
STATEMENT
(2) Defendant.
(5) (6)
Attorney for Plaintiff * Attorney for Defendant *
(7) (* If no attorney, please include the party’s address and information)
Address: __
(8) Address: _
Telephone: __
Telephone: __
Fax: __
Fax: __
E-Mail: __
E-Mail: __
(9) Date case filed:
(10) Temporary Order issued on:
(11) Temporary Order pending (check):
(12) Mediation: Are any of the following appropriate for mediation?
(a) Custody/Parenting Time yes no
(b) Property Settlement/Finances yes no
(c) Other yes no If yes, describe
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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2
(13) If mediation is not appropriate, why not? (Be specific; simple opposition is not sufficient.)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
(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:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
ISSUES
(16)
Custody
N/A
Settled
Disputed
Legal
______
______
______
Physical
______
______
______
(If you intend to seek a court order, a timely motion must be filed requesting
N/A
Settled
Disputed
Parenting Time
______
______
______
Spousal Support
______
______
______
Real Estate
______
______
______
Fault
______
______
______
Separate Property
______
______
______
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Personal Property
______
______
______
Fault/disproportionate
division claimed
______
______
______
Retirement
______
______
______
Discovery completed: yes no
Appraisals needed: yes no
Discovery needed or pending:
Settlement Conference will be set by the court.
(17) (18)
Plaintiff’s counsel or Plaintiff, In Pro Per Defendant’s counsel or Defendant, in Pro Per
Dated: