The Missouri 15 form is a legal document used in family court cases involving children. It must be completed by the Petitioner and filed within 60 days of service when a dissolution or motion to modify is in question. This form helps the court understand whether mediation has occurred and if any disputes remain regarding parenting issues.
To ensure proper handling of your case, please fill out the Missouri 15 form by clicking the button below.
The Missouri 15 form is an essential document used in family court proceedings when children are involved in a dissolution or modification case. This form must be completed by the Petitioner and submitted within 60 days from the date of service. It serves several critical purposes, primarily focusing on mediation compliance under Rule 68.12. The form requires the parties to indicate whether they have completed the mandatory mediation, have no disputes regarding parenting issues, or have had the mediation waived by the court. If none of these conditions apply, the form provides options for parties to request a court-appointed mediator or to seek mediation services through MARCH for specific cases. Additionally, it addresses situations where there may be a restraining order or protection order in place. The form also includes sections for the mailing addresses of both parties and their attorneys, ensuring clear communication throughout the process. Completing the Missouri 15 form accurately is vital for moving forward with custody and visitation disputes, as it helps the court understand the parties' readiness for mediation and any existing conflicts that need resolution.
IN THE THIRTEENTH JUDICIAL CIRCUIT COURT OF MISSOURI
FAMILY COURT DIVISION
In re the Matter of
__________________________
Petitioner
and
Case No.:
Respondent
FORM 15
Form 15 must be completed by Petitioner and filed no later than 60 days from the date of service, when a dissolution or motion to modify involves children.
Check all that apply:
1.____ The parties have completed two hours of Rule 68.12 mediation as verified by the Notice of Mandatory Mediation Compliance.
2.____ The parties have no disputes regarding parenting issues regarding the children.
3.____ The required mediation under Rule 68.12 has been waived by order of the Court.
IF YOU HAVE SELECTED 1, 2, OR 3 ABOVE, YOU NEED ONLY SIGN THE AFFIDAVIT BELOW AND FILE FORM 15. IF YOU CANNOT SELECT 1, 2 OR 3
ABOVE, PLEASE CONTINUE.
4.____ The parties have a dispute regarding parenting issues and have not been to a mediator:
a._____
Parties request court appointed mediator
b._____
Parties request ________________________________be appointed mediator
Mediator’s Address ________________________________
Mediator’s Telephone ______________________________
c._____
Parties request MARCH mediation services (paternity cases, family access motions, and
post-dissolution motions qualify for MARCH mediation services)
5.____ There has been or there is a current Restraining Order or Protection From Abuse Order involving the parties or the child.
The Petitioner’s mailing address is:
The Respondent’s mailing address is:
___________________________________
_________________________________
Attorney for the Petitioner is:
Attorney for the Respondent is:
Name_______________________________
Name______________________________
Address_____________________________
Address____________________________
Phone______________Fax______________
Phone_________________Fax__________
AFFIDAVIT
I hereby certify that the above Response to Rule 68.12 Mediation of Child Custody and Visitation Disputes is complete, true and accurate to the best of my knowledge and belief.
_______________________________________________________
Affiant- Petitioner/Respondent
Certificate of mailing: I hereby certify that a copy of the above and foregoing was mailed on this _____day of
_______________, 20__,
Signature:__________________________________________________________________________
[Effective July 1, 2003]
In the Matter of
______________________________
Case No: ____________________
NOTICE OF MANDATORY MEDIATION COMPLIANCE
Please check all that apply:
The parties complied with the court order to mediate.
An agreement
was
was not reached
parties continue in mediation.
The Petitioner did not comply with the court order to mediate.
The Respondent did not comply with the court order to mediate.
The mediator requests leave to withdraw due to a conflict of interest.
The differences of the parties were resolved prior to mediation.
Not appropriate under M.A.R.C.H. Guidelines based on director’s review.
Other: ______________________________________________________
________________________
_________________________
Mediator (print name)
Date
Mediator’s signature
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