Family Court Services Intake Form
You have been referred to family court services for help with developing a parenting or visitation plan for the children in this case. The purpose of this intake form is to gather the information needed to assist the parties in coming to an agreement regarding the parenting decisions and shared parenting or visitation with the children; and to screen for any potential safety concerns. This form is for the mediator/recommending counselor's use only and will not be filed in the court case. Any paperwork you want considered by the Court must be filed separately with the Clerk of the Court.
All fields with an asterisk (*) are required
Child Custody Recommending Counseling and Voluntary Mediation Sessions will be held in private, and all written and verbal communication will be deemed “official information” (Evidence Code, §1040). Any information may, however, be disclosed to the court.
There are two types of mediation offered in Tulare County. If you are unsure of the type of appointment you have, contact Family Court Services for more information.
- Child Custody Recommending Counseling (CCRC) – Court Ordered: The content of the session is not confidential from the Court. If the parties come to an agreement in session, the recommending counselor writes the agreement, the parties sign (if represented by an attorney, the attorney signs), and the judicial officer is provided the report for signature. Once the report becomes a Court Order, a copy of the report is provided to the parties and is filed in the public portion of the Court file.
If there is not an agreement between the parties, the counselor prepares a report with recommendations to the Court which is filed in a Confidential section of the Court file and provided to the parties prior to the Court hearing. The report is confidential from everyone but the parties, the judicial officer, and some court staff.
- Confidential (Voluntary) Mediation: The content of the session is confidential from everyone but the people in the session and their attorney’s. If the parties come to an agreement in the session, this agreement is written up and signed by the parties and their attorneys and then provided to the judicial officer for signature. The parties will be provided copies of the signed order. This report is filed in the public portion of the Court file. If the parties do not come to an agreement in session, no report is written for the Court. If a party desires to modify a custody and visitation order, the party will need to file a motion with the court and the parties may be sent to a court-ordered session at that time.
In both Child Custody Recommending Counseling and mediation, there are certain situations in which the mediator may reveal information without your permission. They are not required to inform you of their actions in this regard.
- If you threaten to harm another person, if you threaten to harm yourself, or the mediator/recommending counselor has a reason to suspect child abuse/or neglect, the mediator/recommending counselor may contact the applicable person/protective agencies.