Illinois > Local County > Fulton > Family Law
Mediators Status Report - Illinois
| Mediators Status Report Form. This is a Illinois form and can be used in Family Law Fulton Local County . |
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IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT COUNTY, ILLINOIS Petitioner, vs. Case No: Respondent. MEDIATOR'S STATUS REPORT (Local Court Rule G-5.B.8.g.1) 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 [ ] Parties failed to meet terms of engagement [ ] Full Caseload [ ] 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; there appears a reasonable chance of agreement. [ ] An agreement was reached by the parties on some or all of the issues; a report of their agreement has been sent to their attorney(s) for preparation and submission to the Court. [ ] A written agreement was reached by the parties on some or all of the issues and a copy of their signed agreement [ ] is [ ] is not attached to this report. [ ] The appointment of a child representative or guardian ad litem [ ] is [ ] is not recommended. [ ] A custody/psychological evaluation of the family is recommended. [ ] Other: FEES I charged a [ ] regular [ ] reduced [ ] pro bono fee of $ for mediation services. My fee has been paid in full. Petitioner owes a balance of $ as of the date of . Respondent owes a balance of $ as of the date of . I request that the court order the parties to pay their outstanding balance, or set a hearing on the disputed amount. [ ] I charged no fee as required for my pro bono work required by local court rules. [ [ [ [ [ ] ] ] ] ] Dated: Print Name: Mediator Rev 4-27-07 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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