Family Court Services Confidential Mediation Form (English) {FCS047}

FSC 047, FAMILY COURT SERVICESCONFIDENTIAL MEDIATION FORM, Complete as much information as possible on this form. This form must be completed by each parent and submitted to the Court prior to mediation. All files and records involving your mediation are confidential, including this form, except when a mandated report is necessary, for example, when there is suspected child abuse or threats to harm yourself or others. LASC FSC 047 Rev. 06/21, For Mandatory Use. www.FormsWorkflow.com