Lenawee County, MI · Lenawee County
Mediation Request
This form lets a party request domestic relations mediation through the Thirty-Ninth Judicial Circuit serving Lenawee County.
At a glance
- Issued by
- City of Lenawee County · Lenawee County, Lenawee County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- lenawee.mi.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to request domestic relations mediation to resolve a dispute outside the traditional court process. It asks for your name, address, the other party’s name, your phone number, the date, and your signature. A copy of the request will be sent to the other party, and both parties must complete a mediation screening before mediation can take place.
Who needs it
A party seeking domestic relations mediation through the Thirty-Ninth Judicial Circuit can fill in and sign this request.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates the request.
How to submit this form
- 1
Download the Form
Download the Mediation Request PDF.
- 2
Complete the Request
Enter your name, address, the other party’s name, and your phone number.
- 3
Sign and Date
Add the date and your signature.
- 4
Submit the Form
Submit it to the county office named on the form; check the county website for current contact details.
Frequently asked questions
- What does the Mediation Request form do?
- It lets a party request domestic relations mediation to resolve a dispute outside the traditional court process. The form says a copy will be sent to the other party.
- What happens after I submit the request?
- Both parties must go through a Domestic Relation Mediation Screening before mediation can take place. The form says you will receive a letter with a date and time for screening.
- Do I need a notary for the Mediation Request?
- No. This request has a signature and date line but no notary block; the signer just signs and dates it.
- How do I submit the Mediation Request?
- Submit it to the county office named on the form; check the county website for current contact details.