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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, present or past abuse or neglect proceedings, and/or allegations of domestic violence. 

    
    

    
    

    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 waive the court hearing to allow the joint meeting or conference to proceed with the Friend of the Court.

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