Stipulation and Waivers Following Mediation; Order Thereon
Imperial Superior Court · Court Local Forms
Verified current as of September 10, 2026
Used by parents (petitioner, respondent, or other parent) in a custody/visitation case after mediation to confirm they reached agreement, waive the scheduled hearing, and ask the judge to adopt the mediation agreement as a court order.
This form must be printed and filled by hand, or opened in Adobe Acrobat.