Umpire Appointment


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 CAUSE NO. ________________ 
 
_____________________________ }  IN THE _______ DISTRICT COURT 
 } 
_____________________________ }  OF DALLAS COUNTY, TEXAS 
 
 FAMILY COURT SERVICES ORDER  
 
The Court finds that it is in the best interest of the child(ren) herein that FAMILY COURT SERVICES OF DALLAS 
COUNTY, TEXAS conduct the following procedures and FAMILY COURT SERVICES is hereby ORDERED to 
conduct the following: 
 
(CHECK BOXES AS REQUIRED) 
[] MEDIATION ONLY [] SOCIAL STUDY ONLY [] MEDIATION/SOCIAL STUDY  [] COUNSELING  [] OTHER 
 
SOCIAL STUDY TO INCLUDE THE FOLLOWING: 
[] CONSERVATORSHIP []POSSESSION  []TERMINATION/ADOPTION []ADOPTION ONLY 
[]FAMILY VIOLENCE ALLEGATIONS   []EMERGENCY INTERVIEW REQUIRED 
 
IT IS ORDERED that the parties named herein shall attend orientation and all sessions as required by the Dallas 
County Family Court Services Office in performing its duties in accordance with this order. 
 
 PARTIES TO THIS ACTION 
 
Mother    []Petitioner/Movant      []Respondent  Father    []Petitioner/Movant     []Respondent 
Name _____________________________________  Name   _____________________________________ 
Address ___________________________________  Address ____________________________________ 
City/State ______________________zip__________  City/State ________________________zip_________ 
Phone (H) _______________ (W)_______________  Phone (H) ________________(W)________________ 
(Fax) _______________(Beeper)________________  (Fax)__________________(Beeper)______________ 
 
 ATTORNEYS 
 
Mother’s Attorney      Father’s Attorney 
Name _____________________________________  Name ______________________________________ 
Address____________________________________  Address ____________________________________ 
City/State ___________________zip_____________  City/State ________________________zip_________ 
Phone ________________(Fax)________________  Phone__________________(Fax)________________ 
 
GUARDIAN/ATTORNEY AD LITEM     CHILDREN THE SUBJECT OF THIS SUIT 
Name _____________________________________  Name__________________Sex_______DOB_______ 
Address ___________________________________  Name__________________Sex_______DOB_______ 
City/State _____________________zip___________  Name__________________Sex_______DOB_______ 
Phone ________________(Fax) ________________  Name__________________Sex_______DOB_______ 
 
[] Check here if additional parties, agencies and/or attorneys and list on separate sheet of paper. 
 
Receipt: (Mother) # __________ (Father) #___________ (Other) #________________. 
 
ATTENTION ATTORNEYS AND PRO SE LITIGANTS - THE COURT WILL NOT SIGN THIS ORDER UNTIL ALL FEES HAVE BEEN PAID. 
AFTER PAYMENT, TAKE COMPLETED AND SIGNED COPY OF THIS ORDER TO FAMILY COURT SERVICES ON 2ND FLOOR, GEORGE 
ALLEN BLDG. THE COURT CLERKS DO NOT FORWARD THESE ORDERS TO FAMILY COURT SERVICES. 
 
Signed this the _____day of ________________, ______. 
 
 
_________________________________    ___________________________________ 
Associate Judge       District Judge    
Form SSO-M3/02