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Mediation Results Report - South Carolina

Mediation Results Report Form. This is a South Carolina form and can be used in Alternative Dispute Resolution Circuit Court Statewide .
 Print-only pdf Last Modified 6/10/2005
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STATE OF SOUTH CAROLINA ) IN THE CIRCUIT COURT FOR THE ) ________________________ COUNTY ) _________ JUDICIAL CIRCUIT ) _________________________________ ) P laintiff ) ) vs. ) M EDIATION RESULTS REPORT ) _________________________________ ) Defendant ) ____________________________________) Docket No. ________________________ (THIS FORM TO BE COMPLETED BY THE MEDIATOR WITHIN 10 DAYS OF CONCLUSION OF THE CONFERENCE, WHETHER OR NOT AGREEMENT WAS REACHED BY THE PARTIES.) 1. Mediated settlement conferences were held before me on _______________, 20_______. 2. As a result of these conferences, this case should be considered (please check one): ( ) Fully Settled (please check one): ( ) by Consent Judgment, to be filed by _______________________________ or, (Name of Designee) ( ) by Voluntary Dismissal, to be filed by ________________________________ (Name of Designee) ( ) Partially Settled, with agreement of the parties on the following issues: (attach separate sheet, if necessary): ____________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ ( ) At an impasse. The mediation session was productive and there is the possiblility that further discussion over settlement options could lead to an agreement. ( ) In need of further mediation. (I _____ am/ _____ am not willing to mediate this case further. ( ) Continued (Date) ____________________ 3. Plaintiff ____ was/ _____ was not present. Defendants _____ were/ _____ was not present. <<<<<<<<<********>>>>>>>>>>>>> 2 4. Other participants were: _____ attorney for plaintiff: _____ attorney for defendants: _____ representatives for insurance carrier ____________________ _____ guardian ad litem ___________________________________ _____ experts ___________________________________________ _____ others ____________________________________________ 5. This case was co-mediated with: ______________________________________. 6. Choice of the mediator was by: _____ Stipulation _____ Court Order. 7. The total number of hours spent in mediation was: _____ hours. 8. the total mediator fees were $__________. 9. Further comments of the mediator: Date: ______________________ Signature of Mediator: ____________________________ Print Name of Mediator: ___________________________
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