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Family Mediation Information and Assessment Form FM1 - Attach to PD 3A

22 APR 2014

This form is to be used in connection with family proceedings to which Practice Direction 3A applies. It should be completed in accordance with the Pre-application

Protocol annexed to the Practice Direction and be filed with the court with any application made in proceedings to which the Practice Direction applies.

Where either Part 1 or Part 2 applies, the form must be completed and signed by the mediator concerned and counter-signed by the applicant or the applicant's legal representative.

Where either Part 3 or Part 4 applies, the form must be completed and signed by the applicant or the applicant's legal representative.

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