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Mediation Case Screening Form 2 - Alabama
| Mediation Case Screening Form Form. This is a Alabama form and can be used in Appellate Mediation Program Appellate . |
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(Form 2) IN THE SUPREME COURT OF ALABAMA or ALABAMA COURT OF CIVIL APPEALS Case Number: Style: MEDIATION CASE-SCREENING FORM This screening form is sent to obtain information to be used by the appellate mediationadministrator in determining whether this case is an appropriate one for appellate mediation. Each party must file a copy of the completed Mediation Case-Screening Form and the Confidential Statement to Enter Appellate Mediation with the Appellate Mediation Office,300 Dexter Avenue, Montgomery, Alabama 36104, within 14 days of the date of this notice,and serve a copy of the completed Mediation Case-Screening Form on opposing counsel. In addition to the documents required in the first paragraph, the appellant shall attach (1)a copy of the docketing statement, (2) a copy of the complaint and any amendments to thecomplaint; (3) a copy of the order or judgment to be reviewed by the appellate court; (4) a copyof the order on any postjudgment motion, if applicable; and (5) a copy of the postjudgmentmotion if it will assist the administrator to determine the nature of the dispute. FAILURE TO RETURN THE MEDIATION CASE- SCREENING FORM MAY RESULT IN SANCTIONS (SEE RULE 5 (i)). ______________________________________________________________________________ Appellants attorney Alabama Bar No.(Lead counsel: If different from the attorney listed on the docketing statement.) ____________________________________________________________________________________ Address, City, State, Zip ______________________________________________________________________________ Phone Fax E-mail <<<<<<<<<********>>>>>>>>>>>>> 2_____________________________________________________________________________ Appellees attorney Alabama Bar No.(Lead counsel: If different from the attorney listed on the docketing statement.) ____________________________________________________________________________________ Address, City, State, Zip ______________________________________________________________________________ Phone Fax E-mail ISSUES ON APPEAL (to be completed by appellants/cross-appellants only): Are there any issues you expect to be raised on appeal that are not listed on the docketingstatement? If so, please attach to this form a statement of those additional issues. IN FORMA PAUPERIS Were you granted leave to proceed in forma pauperis on appeal at the trial level? If so, attach acopy of the order granting such leave. MEDIATION Was the case mediated at the trial level? Yes _______ No _______Has the case been mediated since entry of the order appealed? Yes _______ No _______Is there anything else that should be considered in determining whether this case should besubmitted to mediation? If so, please attach a statement to this form. THE APPELLANT IS TO ATTACH A COPY OF THE DOCKETING STATEMENT, A COPY OF THE COMPLAINT AND ANY AMENDMENTS TO THE COMPLAINT, A COPY OF THE ORDER OR JUDGMENT TO BE REVIEWED BY THE APPELLATE COURT, A COPY OF THE ORDER ON ANY POSTJUDGMENT MOTION, IF APPLICABLE, AND A COPY OF THE POSTJUDGMENT MOTION IF IT WILL ASSIST THE ADMINISTRATOR TO DETERMINE THE NATURE OF THE DISPUTE. ______________________________ ______________________________Date Lead counsel for: ______________________________ CERTIFICATE OF SERVICE
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