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Mediation Report ADR-03 - California
| Mediation Report Form. This is a California form and can be used in ADR USDC Central Federal . |
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UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CASE NUMBER Plaintiff(s) v. MEDIATION REPORT Defendant(s). Instructions: The mediator shall file this Report within 5 days after the conclusion of a mediation session even if the negotiations continue. If the case later settles with the assistance of the mediator, the mediator shall file a subsequent Report. 1. A mediation was held on (date): . A mediation did not take place because the case settled before the session occurred. 2. The individual parties and their respective trial counsel, designated corporate representatives, and/or representatives of the party's insurer: Appeared as required by Civil L.R. 16-15.5(b). Did not appear as required by Civil L.R. 16-15(b). Plaintiff or plaintiff's representative failed to appear. Defendant or defendant's representative failed to appear. Other: 3. Did the case settled? Yes, fully. Yes, partially, and further facilitated discussions are expected. (See No. 4 below.) Yes, partially, and further facilitated discussions are not expected. No, and further facilitated discussions are expected. (See No. 4 below.) No, and further facilitated discussions are not expected. If further facilitated discussions are expected, by what date will you check in with the parties? . (date:) 4. Dated: Signature of Mediator Name of Mediator (print) The Mediator is to electronically file original document. ADR-03 (01/12) MEDIATION REPORT American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1
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