Illinois > Local County > Lake > Family Law
Family Mediators Status Report 171-327 - Illinois
| Family Mediators Status Report Form. This is a Illinois form and can be used in Family Law Lake Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ) ) ) ) ) ) ) ) Petitioner and Gen No. Respondent FAMILY MEDIATOR'S STATUS REPORT Name of Mediator: Referring Judge: (Check Appropriate Boxes) I am unable to accept the court's appointment to provide mediation services for the following reason(s): Conflict of Interest Full Caseload Parties failed to meet terms of engagement The parties have not completed the initial orientation process. Other: The following mediation sessions were conducted: Date of Session Duration of Session Those in Attendance Mediation was terminated without an agreement. Additional mediation sessions are recommended. An oral agreement was reached by the parties on some or all of the issues. A written agreement was reached by the parties on some or all of the issues and a copy of the signed agreement is attached to this report. I charged $ My fee has been paid in full. Petitioner owes a balance of: $ and/or Respondent owes a balance of $ as of the date of , 20 . I request that the court order the parties to pay their outstanding balance, or set a hearing on the disputed amount. Respectfully submitted, Copies sent to the following: Name: Address: Phone: Email: Copies must be sent to the attorney(s) of record and to any unrepresented parties. American LegalNet, Inc. www.FormsWorkFlow.com for the mediation services provided to the parties. as of the date of , 20 . Date: Fax: 171-327 (Rev. 08/10)
|
|||||||
