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2. STATE OF MICHIGAN
4. STATE OF MICHIGAN IN THE CIRCUIT COURT FOR THE COUNTY OF CLINTON
6. WAIVER OF HEARING
8. Docket Number (Case Number)
10. Plaintiff*
12. VS
14. Defendant*
16. 1. The domestic violence questionnaire submitted to the Friend of the Court documented a current or past PPO or other protective order or present or past abuse or neglect proceedings.

    
    2. Due to the above, the Friend of the Court may not proceed with an alternative dispute resolution joint meeting or a facilitative and information gathering conference, without a court hearing.

    
    3. As the protected party, I am waiving the described hearing to allow the conference or joint meeting to proceed.
18. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
20. Date*
    Date
22. Electronic Signature of Protected Party*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field