Fam012 2026

The document is a Mediation Intake Form from the Family Court Services of Los Angeles, which must be completed by all parties prior to Child Custody/Visitation Mediation. It collects personal information, details about the case, and any history of domestic violence. The form emphasizes confidentiality and outlines the need for separate interviews in cases involving domestic violence. It also includes sections for parents to describe their children and their concerns regarding custody or visitation.

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Click ‘Get Form’ to open it in the editor.
Begin by selecting whether you are the Petitioner or Respondent. Indicate if an interpreter is needed and provide the language if applicable.
Fill in your Case Number, Next Hearing Date, and Department. Ensure all personal information such as Name, Date of Birth, and Contact Information is entered clearly.
Provide details about your occupation and employer, including work hours and contact number.
Complete the section regarding the other parent/party's information, including their contact details.
Indicate whether you have completed the online orientation 'OUR CHILDREN FIRST' and if you request a separate interview.
List the children involved in mediation along with their birth dates, ages, and grade levels. Include any other children residing in your home.
Review each statement regarding past incidents of violence and check the boxes that apply to your situation.
Describe any concerns you wish to address during mediation and sign at the bottom of the form before submission.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (132 Votes)
2018	4.4 Satisfied (243 Votes)
2012	4.3 Satisfied (34 Votes)

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How to fill mc 012?

On your Memorandum of Costs After Judgment (MC-012), you must include the exact amount of all allowable costs, the payments credited toward the principal and interest, and the amount of accrued interest. This means you are responsible for calculating these amounts.

What is the family code 6340?

Section 6340. If the court makes any order for custody, visitation, or support, that order shall survive the termination of any protective order. The Judicial Council shall provide notice of this provision on any Judicial Council forms related to this subdivision.