SW Form 1 Referral FormInitial Referral Form. This form does not guarentee that your case will be accepted for Settlement week. Once completed all Parties who have been listed with emails will recieve an email with a screener. Please fill the screener out as soon as possible. Your case will not be reviewed without the screener.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Who is filling this form out?Magistrate/JudgeFamily Court Service StaffPlaintiffPlaintiff's CounselDefendantDefendant's CounselGuardian Ad Litem (GAL)OtherWhomever is filling this form out MUST provide their email address so that the appropriate next steps will take place. If you have all parties emails and counsel it is important that you fill that out.Case No.Judge/MagistratePlaintiff's nameDefendant's nameEmail for PlaintiffEmail for DefendantPhone for PlaintiffPhone for DefendantPlaintiff's counselDefendant's counselEmail for Plaintiff's CounselEmail for Defendant's Counsel Referred byADMINISTRATIVE USE ONLYDO NOT SEND NOTICEThis is for Magistrates and Court Staff Only - Click here if a paper filing has been completed OR Parties have already filled out DV Screening - this will prevent the form submission to send notice to Handlers and Parties.RequestMediationAgreement ExpressInformal ProceedingsNeutral EvaluationNextOutstanding Parenting Issues (check applicable)CustodyParenting TimeHolidays/Extended PeriodsTransportation/ExchangesExtracurricular ActivitiesExtracurricular Activity FeesHealthcareEducationReligionDiscipline/RoutinesCommunicationRelocationOtherOutstanding Financial Issues (check applicable)Real EstateHousehold GoodsAutomobilesFunds on DepositRetirement PlansStocks and BondsTax Refunds and DeductionsLife InsuranceExpectancies and InheritancesLiabilities/DebtChild SupportSpousal SupportSchool FeesAttorney FeesCourt CostsSeparate PropertyOtherSpecific Problems to be Addressed for applicable) Plaintiff's Submit
