Form 15 at a glance
What it is: Form 15 is the Response to Rule 68.12 Mediation of Child Custody and Visitation Disputes in the Thirteenth Judicial Circuit Court of Missouri, Family Court Division, with a Case No. for the Petitioner and Respondent.
Who signs: The Affiant, Petitioner/Respondent, signs the AFFIDAVIT. If you have selected 1, 2, or 3, you need only sign the affidavit and file Form 15. If you cannot select 1, 2 or 3, continue.
A filled-in Form 15 example: a petitioner asks for a court appointed mediator
How to fill out Form 15, box by box
Petitioner and Case No.
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.
1, 2 or 3: only sign the affidavit
Check all that apply.
Check 1 if the parties have completed two hours of Rule 68.12 mediation as verified by the Notice of Mandatory Mediation Compliance. Check 2 if the parties have no disputes regarding parenting issues regarding the children. Check 3 if the required mediation under Rule 68.12 has been waived by order of the Court.
4: a dispute and no mediator yet
Check 4 if the parties have a dispute regarding parenting issues and have not been to a mediator.
Check a if the parties request court appointed mediator.
Check b if the parties request the mediator you write on the line be appointed mediator, then enter the Mediator's Address and Mediator's Telephone.
Check c if the parties request MARCH mediation services (paternity cases, family access motions, and post-dissolution motions qualify for MARCH mediation services).
5: Restraining Order or Protection From Abuse Order
Check 5 if there has been or there is a current Restraining Order or Protection From Abuse Order involving the parties or the child.
Mailing addresses and attorneys
Enter The Petitioner's mailing address and The Respondent's mailing address.
Enter the Attorney for the Petitioner and the Attorney for the Respondent: Name, Address, Phone and Fax.
Affidavit and Certificate of mailing
By signing the AFFIDAVIT you certify that the Response to Rule 68.12 Mediation of Child Custody and Visitation Disputes is complete, true and accurate to the best of your knowledge and belief; sign on the line over Affiant Petitioner/Respondent.
Under Certificate of mailing, you certify that a copy was mailed on this day of, 20, and sign on Signature.
More rules for Form 15
The Notice of Mandatory Mediation Compliance: Please check all that apply. The parties complied with the court order to mediate. An agreement was or was not reached. 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. Case No. [Effective July 1, 2003]
Common questions about Form 15
What is form15?
Form 15 is the Response to Rule 68.12 Mediation of Child Custody and Visitation Disputes in the Thirteenth Judicial Circuit Court of Missouri, Family Court Division, with a Case No. for the Petitioner and Respondent. Form 15 is effective July 1, 2003.
Sources
[1] Form 15, Response to Rule 68.12 Mediation of Child Custody and Visitation Disputes, Thirteenth Judicial Circuit Court of Missouri (the Official source link on this page).