Commonwealth Numbered Regulations

1996 No. 60 FAMILY LAW RULES (AMENDMENT) - SCHEDULE 9

                             SCHEDULE 9                  Subrule 77.15

NEW FORM 69
                             "FORM 69                Order 25, rule 4A

MEMORANDUM BY COURT COUNSELLOR NAME OF COUNSELLOR:
......................................................................
............ MATTER:
................................................................ FILE NO:
.................... NATURE OF REFERRAL:
( ) section 15 of the Act;
( ) subsection 62C (1) of the Act;
( ) section 62D of the Act;
( ) subsection 62E (1) of the Act;
( ) subsection 62F (2) of the Act;
( ) section 112AD of the Act;
( ) *before/*after first hearing date. REFERRED BY:
...................................DATE OF REFERRAL: ................. DATE OF
CONFERENCE(S):
...................................................................... .......
PARTIES INTERVIEWED:
......................................................................
............ OUTCOME
Issue               Agreement        No agreement       Part agreement

                    reached          reached            reached

( ) Parenting plan  ( )              ( )                ( )

( ) Residence       ( )              ( )                ( )

( ) Contact         ( )              ( )                ( )

( ) Specific issues ( )              ( )                ( )

( ) Occupancy       ( )              ( )                ( )

( ) Other           ( )              ( )                ( )
If issues relate to less than all children, specify which children issues
relate to:
......................................................................
............................................................. ( ) No further
appointments for privileged counselling were made. ( ) A further appointment
was made for privileged counselling to take place on (insert date). ( )
Consent orders negotiated/*parenting plan developed. ( ) A notification has
been made by a counsellor under section 67ZA of the Act. CASE MANAGEMENT
OPTIONS It is my opinion that, if these parties appear in dispute before a
court: ( ) Further privileged counselling should take place before a judicial
decision is made. ( ) A judicial decision is required. ( ) After the
determination of (specify issue(s)), further privileged counselling should
take place. ( ) The parties should be given more time to attempt to settle the
matter. ( ) To assist the parties to settle the matter, they should be
referred to:
( ) conciliation counselling;
( ) mediation;
( ) a conciliation conference with a Registrar and a court counsellor;
( ) a group or other program (specify program). ( ) It would assist in a
resolution of the matter if the children of the parties were included in
(specify program). ( ) No further privileged counselling is desirable or
useful *at this stage/*until (insert date). ( ) A family report should be
ordered:
( ) at the pre-hearing conference; ( ) as soon as possible. ( ) A child's
representative should be appointed. ( ) The court should request, under
section 91B of the Family Law Act, that the State welfare officer intervene in
the proceedings. ( ) Other (give details). ( ) Case management track is
recommended as follows:
    (  )     direct;         (  )     standard;      ( ) complex.

DATED:                           19 .
.................................. Court counsellor

* Omit if not applicable. ".