Dependency Mediation Outcome Form Dependency Mediation Outcome Form - California

ATTACHMENT JV-2029



SUPERIOR COURT OF CALIFORNIA

COUNTY OF SANTA CLARA









DEPENDENCY MEDIATION OUTCOME FORM



1. Case Name (Oldest Child):

2. Case Number:

3. Mediation Date:

4. Outcome (Please mark only one of the following):

a. Full Agreement: All issues addressed in mediation were resolved.

b. Partial Agreement: One or more issues addressed in mediation were resolved, and

at least one issue remains unresolved.

c. No Agreement: No issues addressed in mediation were resolved.

5. This form is to be completed by County Counsel on every case following the parties’ return to

court.



Terraine: Please return to the Dependency Mediation Outcome box outside of Juvenile Dependency

Mediation Office.



South County: Please return to the black drop box on the right side of the lobby as you exit the

courthouse.









JV-2029 REV 01/01/13 DEPENDENCY MEDIATION OUTCOME FORM Page 1 of 1





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