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While a court may order parties to attend mediation, it cannot order them to reach an agreement. Complete the Request for Final Waiver of Open Costs.Use this form to ask the court to waive your appearance until the respondent is served with a temporary protective order. Self-referrals register through the Family Services Office. The program is eligible for fee waiver application, if court ordered. After completing this form, you should file the original with the clerk of the circuit court in the county where your case is filed and keep a copy for your. If parties attend private mediation, they can request that the Court waive their requirement to attend the courtprovided Custody Mediation. You must complete this form and take (or mail) the original and three copies for filing with Clerk of. Court in the county in which your case is filed. UPON REQUEST of the party(ies) mediator for a waiver of the mediation fee pursuant to G.S. 7A-38.