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JUDICIAL DISTRICT , Petitioner, v. No. , Respondent. MOTION FOR REFERRAL TO MEDIATION (CHILD CUSTODY, TIMESHARING, OR VISITATION) (domestic relations actions)1 I, (name of Petitioner or Respondent), request the Court to refer the custody, timesharing, or visitation matters in this case to mediation. 1. 2. The minor children of the parties are: Name Age.

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