Mediation Forms
D2 Mediation Plan
Statewide Roster of Mediators
Form A – Order for Mediation
Attachment B – Introduction to Family Law Mediation
Form C – Designation of Mediator
Form D – Order Following Designation of Mediator
Form E – Family Law Mediation Report Form
Form F – Application for Waiver of Mediation
Form G – Application for Reduced Fee Mediation
Form H – Agreement to Mediate
Form I – Application for Admission to District Two Family Law Mediation Roster
Form J – Order for Mediation for case pending as of February 28, 2021
Form K – Financial Affidavit for Reduced Fee Mediation
Attorneys interested in becoming a mediator in the Second Judicial District should contact:
Tina Thomason
tina.thomason@iowacourts.gov
Children in the Middle
Mandatory Education for Divorcing Parents
District 2 Court Approved Children in the Middle Providers (PDF)
Iowa law requires that parties to any action which involves the issues of child custody or visitation must attend a court-approved course about the affects of divorce on children. In all judicial districts, there are courses such as “Children in the Middle or Children Cope with Divorce. These classes are designed to help minimize the negative impact of divorce on children and educate parents about the needs of children whose parents are divorcing.
Parents are required to attend within forty-five days of the service of original notice or application for modification of an order. A final decree shall not be entered until the parties have complied with this requirement, but under certain circumstances attendance can be waived by the court.
Each participant must pay a fee. Other persons, such as grandparents may also attend for a fee. The registration procedure for each provider may vary, so participants should call to get specific information when planning to attend a class.
Pretrial Stipulations
Form A: Pretrial Stipulation – Dissolution with Children
Form B: Pretrial Stipulation – Dissolution with no Minor Children
Form C: Pretrial Stipulation – Paternity, Custody, Visitation, and Support
Form D: Pretrial Stipulation – Custody Modification
Form E: Pretrial Stipulation – Spousal Support Modification
Link to Income Withholding for Support (IWO) Form, Instructions and Sample. https://acf.gov/css/form/income-withholding-support-iwo-form-instructions-sample
Civil Legal Assistance Fund
Within the Second Judicial District of Iowa, civil legal assistance funding is available to low-income parents and children involved in dissolution of marriage or modification cases with child custody disputes. The Second Judicial District is comprised of 22 Iowa counties, including: Boone, Bremer, Butler, Calhoun, Carroll, Cerro Gordo, Floyd, Franklin, Greene, Hamilton, Hancock, Hardin, Humboldt, Marshall, Mitchell, Pocahontas, Sac, Story, Webster, Winnebago, Worth, and Wright. Funding is made available through the Civil Legal Assistance Fund (CLAF).
Those interested in obtaining civil legal assistance should contact the Clerk of Court in their county to see if funding is available and request an application. Interested parties are responsible for securing an attorney willing to provide services at a reduced rate of $50.00 per hour, with a maximum fee of $750.00 per case.