State of Minnesota County Select County
District Court Judicial District: Court File Number: Case Type:
In Re the Marriage of:
Plaintiff / Petitioner vs / and
Response to Request to Remove Child Support Magistrate For Cause
Defendant / Respondent Intervenor TO: The Other Party or Attorney if Represented
First Street Address City State Middle Last Apt. No. Zip
County Attorney's Office
County Attorney Street Address City State Zip
Pursuant to Expedited Child Support Process Rule 368.02, I,
(Name of party)
AGREE
DISAGREE with the moving party's request to remove
from presiding in these proceedings in the
(Name of Child Support Magistrate, Referee, or Judge)
expedited child support process. The reason I agree / disagree with the removal is as follows (you must explain why the Judicial Officer assigned to your case is or is not prejudiced in presiding over your case):
Dated: Signature Print Name: Address: City/State/Zip: Telephone: Attorney for:
CSX1902 State ENG Rev 12/06 www.mncourts.gov/forms Page 1 of 1