The North Carolina 21 form is a legal document used to request an exemption from mandatory mediation and the Parenting Apart Program in custody and visitation cases. This form allows parties to outline specific reasons for seeking a waiver, such as distance from the court, allegations of abuse, or other significant concerns. Understanding how to properly fill out and submit this form is crucial for those navigating custody disputes in North Carolina.
The North Carolina 21 form serves a crucial role in family law proceedings, particularly in custody and visitation cases. Designed for use in the Union County District Court, this form allows a party to formally request an exemption from mandatory mediation and the Parenting Apart Program. The reasons for such a request can vary widely, ranging from the parties' agreement to pursue private mediation to significant concerns involving the welfare of the child, such as allegations of abuse, neglect, or substance abuse. Additionally, the form acknowledges logistical challenges, such as one party residing more than 75 miles from the court, which may hinder participation in the required programs. By detailing the specific grounds for exemption, the form ensures that the court can make informed decisions that prioritize the best interests of the child. This process underscores the importance of addressing unique family dynamics while maintaining the integrity of the judicial system.
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Form # 21
NORTH CAROLINA
IN THE GENERAL COURT OF JUSTICE
UNION COUNTY
DISTRICT COURT DIVISION
File No. ___-CVD-_____________
______________________________
)
Plaintiff
MOTION FOR EXEMPTION
FROM MEDIATION AND THE
vs.
PARENTING APART PROGRAM
Defendant
Pursuant to G.S. 50-13.1, the undersigned attorney/party request a waiver of court ordered custody/visitation mediation and the Parenting Apart Program based upon the following reason(s):
1. The parties have agreed to voluntary private mediation.
2. The party resides more than 75 miles from the court. City & State:
__________________________________________________________________________
3. There are allegations of abuse or neglect of the minor child.
4. There are allegations of alcoholism, drug abuse, or domestic violence.
5. There are allegations of severe psychological, psychiatric or emotional problems.
6. Other good cause
The facts upon which this request for waiver is based are as follows (must be completed):
This is the _______day of __________________ , 20____.
__________________________
Date
Signature of Filing Party
Copy to:
Plaintiff or Plaintiff’s Attorney Defendant or Defendant’s Attorney
Custody Mediator Case Manager
Original shall be filed with the Clerk’s Office. Copy given to Mediator and Family Court Case Manager
When filling out and using the North Carolina 21 form, keep these key takeaways in mind: