Get Custody Mediation Intake Form

Filling out the custody mediation intake form online is a crucial step in addressing custody matters. This guide will provide you with a clear, step-by-step approach to completing the form accurately and efficiently.

Follow the steps to complete your custody mediation intake form online

1. Press the ‘Get Form’ button to access the custody mediation intake form and open it in your preferred online editor.
2. Begin by entering the county where your case is filed along with your case file number. If applicable, provide today's date.
3. Indicate if you or the other party will require an interpreter by selecting 'Yes' or 'No.' If 'Yes', specify the required language.
4. Fill in your full name and date of birth, and provide your mailing address, including city, state, and zip code.
5. Enter your home telephone number and cell number, including area codes. Provide your email address and your highest level of education completed.
6. Indicate your employment status by selecting 'Yes' or 'No.' If employed, provide your employer's name, job title, work telephone number, and work schedule.
7. Select the best number for the mediator to contact you and indicate on which number(s) they can leave a message.
8. Fill in the full name and contact details (telephone numbers and email address) of the other party involved in this dispute, including their mailing address.
9. List all child(ren) involved in this custody dispute by inputting their full names, dates of birth, ages, grades, genders, and living arrangements.
10. Describe your relationship with each child involved in the dispute by selecting the appropriate options provided.
11. Respond to questions about living arrangements, current relationship status with the other party, and any existing custody orders you're hoping to revise.
12. Answer queries about any disagreements that occur with the other party and provide additional details regarding any domestic violence protective orders or criminal cases.
13. Conclude by addressing safety concerns and any threats posed by the other party, providing as much information as necessary.
14. After completing the form, review all entries for accuracy and clarity. Save changes, and download, print, or share the form as needed.

Complete your custody mediation intake form online today to move forward with your case.