Get Mediation Payment Worksheet - New Hampshire Judicial Branch - Courts State Nh

This guide provides clear and supportive instructions for filling out the Mediation Payment Worksheet required by the New Hampshire Judicial Branch. By following these steps, you can complete the form accurately and submit it online with confidence.

Follow the steps to complete the mediation payment worksheet.

1. Press the ‘Get Form’ button to access the Mediation Payment Worksheet and open it for editing.
2. In the first section, enter the court name, case name, and case number if it is known. These details are essential for identifying your case correctly.
3. Next, provide your name in the designated field. Indicate your status by selecting one of the options that describe your relationship to the case—whether you are a party to a parenting case, a divorce case with minor children, or a reopened case.
4. Fill in the estimated gross monthly income in the required field. Be sure to input an accurate figure, as this will influence potential assistance eligibility.
5. Specify the number of persons, including yourself, who reside in your household and whom you are legally responsible to support.
6. Select one of the options regarding payment assistance for court-ordered mediation. Carefully read the descriptions, especially if requesting assistance from the Court Family/Indigent Mediation Fund, and provide the necessary information related to your public assistance, if applicable.
7. If you choose not to request assistance, confirm that you have the resources to pay your portion of the mediation costs as described, and acknowledge that payment is due on the day of mediation.
8. Finally, date the form, sign it, and provide your current street address, mailing address, city, state, zip code, and telephone number. Ensure all information is accurate.
9. Once you have filled out the form completely, save your changes, and consider downloading or printing the document for your records or sharing purposes.

Complete your mediation payment worksheet online to ensure a smooth process.