Motion For Waiver Of Parent Education And Or Custody Mediation {CCF-55}

STATE OF NORTH CAROLIN A IN THE GENERAL COURT OF JUSTICE COUNTY OF MECKLENBURG DISTRICT COURT DIVISION CASE NUMBER _____________________ ________________________________ ________________________________ PLAINTIFF V S. M OTION FOR WAIVER OF PARENT EDUCATION ________________________________ AND/OR CUSTODY MEDIATION ________________________________ DEFENDANT . The undersigned requests a waiver of [ ] Parent Education and/or [ ] Custody Mediation in the above-captioned case based upon the following: _____ The party has completed a comparable Parent Education course and filed a certificate of completion with the court _____ Undue hardship _____ The parties have agreed to voluntary mediation _____ There are allegations of abuse or neglect of the minor child * _____ There are allegations of alcoholism, drug abuse, or domestic abuse _____ There are allegations of severe psychological, psychiatric, or emotional problems _____ The party resides more than fifty miles from the court _____ Other good cause The facts upon which this request for waiver is based are: ____________________________________________________________________________________ ____________________________________________________________________________________ The undersigned [ ] requests [ ] does not request an evidentiary hearing on the motion. This the ______ day of ______________________________, 20____. ____________________________________________ __ Plaintiff __ Attorney for Plaintiff __ Defendant __ Attorney for Defendant Note to Opposing Party: You have seven days from receiving this motion to file any response. Served on: ______________________________ ______________________ Plaintiff or Plaintiffs Attorney Date ______________________________ ______________________ Defendant or Defendants Attorney Date ______________________________ ______________________ Custody Services Case Manager Date * Domestic abuse refers to acts of intimidation, harassment, coercion or violence perpetrated by an intimate partner against a current or former intimate partner. Nonphysical acts of domestic abuse include but are not limited to emotional abuse, isolation, threats, and the use of gender privilege. Physical acts include but are not limited to pushing, shoving, choking, slapping, hitting, using weapons, and physically detaining. These acts serve to maintain the abusers power and control over the abused person. CCF-55 6/5/00 <<<<<<<<<********>>>>>>>>>>>>> 2 Certificate of Service I certify that I served the above Notice by:
delivering a copy personally to: Name of Person(s) and Place Served: Name of Person(s) and Place Served: Also served on: Custody Services Case Manager 700 East Fourth Street, Suite 4405 Charlotte, NC 28202
depositing a copy in the United States mail in an envelope bearing proper postage and addressed as follows: Name and Address Name and Address Also served on: Custody Services Case Manager 800 East Fourth Street , Suite 311 Charlotte, NC 28202
leaving a copy at the office of the attorney named below, with a partner or employee: Name Of Attorney Name Of Attorney Party Represented Party Represented Person With Whom Copies Left Person With Whom Copies Left Also served on: Custody Services Case Manager 800 East Fourth Street, Suite 311 Charlotte, NC 28202 Date of Service Signature of Person Serving Notice Name, Address, and Telephone Number CCF-55 6/5/00