Family Law Settlement Conference Statement {CV 0240}

YOLO SUPERIOR COURT INSTRUCTIONS FOR FAMILY LAW SETTLEMENT CONFERENCE (FLSC) STATEMENT The following is required of all family law litigants who have been assigned settlement conference and trial dates: 1. Complete all sections of the FLSC Statement that apply to you. 2. Insert your settlement conference and trial dates on the first page of the form. 3. Attach any additional sheets you need to use to answer the questions on the form. 4. Make two copies of the statement and any attachments. 5. Have another adult serve one copy on the other party by mail. If DCSS has appeared in this case, DCSS must be served by mail also. 6. Ask the person serving the other party to complete a Proof of Service by Mail (one may be attached to the end of your FLSC Statement). 7. Take the original and the remaining copy of the FLSC Statement (with Proof of Service completed and attached) to Civil Legal Process in Room 103 of the main Courthouse. Civil Legal Process will put the original in the file and return a lodged copy for your records. 8. DEADLINE: both parties must complete all of this no later than 5 days before the FLSC date. 9. NOTE: If you are obtaining a divorce or legal separation, be sure to also complete your financial disclosures and file your form entitled "Declaration Regarding Service of Declaration of Disclosure and Income & Expense Declaration" by the same deadline. 10. If you need to subpoena a witness for trial, you need to have your subpoenas issued by the clerk by the settlement conference date. Rev: 1/1/12 CV 0240 Family Law Settlement Conference Statement American LegalNet, Inc. www.FormsWorkFlow.com Name: ___________________________________________________________ Address: __________________________________________________________ Telephone: _______________________________ In Pro Per THE SUPERIOR COURT OF CALIFORNIA IN AND FOR THE COUNTY OF YOLO In Re Matter/Marriage of: ) ) ) ) ) ) ) ) ) ) ) ) Case No. __________________ Petitioner: ________________________ and Respondent: ______________________ PETITIONER'S RESPONDENT'S FAMILY LAW SETTLEMENT CONFERENCE STATEMENT Settlement Conference Date: _____________ Trial Date: ______________ PRELIMINARY INFORMATION 1.) Petitioner: Name ________________________________________________ Age __________ Present Employer ____________________________________________________ Gross Monthly Income $ ___________________________________________ 2.) Respondent: Name __________________________________________________ Age _________ Present Employer ______________________________________________________ Gross Monthly Income $______________________________________________ 3.) Date of Marriage: ___________________________________________________ Date of Separation: __________________________________________________ Length of Marriage: _________________________________________________ Rev: 1/1/12 CV 0240 Family Law Settlement Conference Statement Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com 4.) List all other court cases involving the parties: (Case # and Court) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Issues to be considered by the Court (check those that apply): 5.) Dissolution of Marriage Child Custody Child Support Spousal Support Property Division and Equalization Assignment of Debts Other ___________________________________________________________ (Specify) DISSOLUTION OF MARRIAGE (Complete if you are requesting dissolution of marriage) 6.) When was the other party (Respondent) served with the Summons and Petition for Dissolution? (Date) __________________________________________________ CHILDREN OF THE RELATIONSHIP 7.) Provide the following information regarding minor children of the relationship: (When listing present custody, use the terms Mother, Father, or Other, and fill in name.) Name ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ Rev: 1/1/12 CV 0240 Family Law Settlement Conference Statement Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Date of Birth ___________ ___________ ___________ ___________ ___________ ___________ Age _______ _______ _______ _______ _______ _______ Present Custody _____________ ______________ ______________ ______________ ______________ _______________ EXISTING ORDERS 8.) Attach all court orders for custody, support, and control of property and list the date of the order. ___________________________________________________________________________ ___________________________________________________________________________ ISSUES SETTLED 9.) Please provide copies of settlement agreements for issues that are settled. If you believe there is an oral settlement on any issues, please state the agreement. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 10.) Attach all agreements reached in child custody recommending counseling and recommendations issued by the child custody recommending counselor. Comments? _________________________________________________________________________ _________________________________________________________________________ 11.) Describe the custody arrangement you want the court to order and provide the reasons you want this custody arrangement. __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Rev: 1/1/12 CV 0240 Family Law Settlement Conference Statement Page 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com __________________________________________________________________________ __________________________________________________________________________ _________________