Approved, SCAO

STATE OF MICHIGAN

JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE

Court  address

MOTION TO REMOVE
CASE FROM MEDIATION

Original - Court
1st copy - Plaintiff
2nd copy - Defendant

CASE NO.

Court  telephone  no.

Plaintiff's  name(s),  address(es),  and  telephone  no(s).

Defendant's  name(s),  address(es),  and  telephone  no(s).

Plaintiff's attorney, bar no., address, and telephone no.

Defendant's attorney, bar no., address, and telephone no.

v

MOTION

Date

Signature

NOTICE OF HEARING

Date

before Hon.

Signature

CERTIFICATE OF MAILING

Signature

Probate

In the matter of

1. I object to the order for mediation dated

aside the order because

Date

and request a hearing on this objection to set

a. the case involves child abuse or neglect.
b. the case involves domestic abuse, and attorneys for both parties will not be present at the mediation session.
c. one or both of the parties are unable to negotiate for themselves and are unrepresented by attorneys.
d. there is reason to believe that one or both of the parties' health or safety would be endangered by mediation.
e. other:

specify

2. I was served with a copy of the order for a mediation on

            .

1. A hearing has been scheduled on the above motion on

at

Location

at

Time

.

Bar no.

2. If you require special accommodations to use the court because of disabilities, or if you require a foreign language interpreter

to help you fully participate in court proceedings, please contact the court immediately to make arrangements.

I certify that on this date I served a copy of this motion on the parties or their attorneys by first-class mail addressed to their last-
known addresses as defined in MCR 2.107(C)(3).

MC 276   (3/08)   MOTION TO REMOVE CASE FROM MEDIATION

MCR 2.410(E), MCR 3.216(D)

Date

Date

Date