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Mediation Results Report - South Carolina

Mediation Results Report Form. This is a South Carolina form and can be used in Mediation Circuit Court Richland Local County .
 Fillable pdf Last Modified 6/13/2005
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STATE OF SOUTH CAROLINA ) IN THE COURT OF COMMON PLEAS ) RICHLAND COUNTY ) FIFTH JUDICIAL CIRCUIT ) ) ME) DIATION RESULTS REPORT Plaintiff ) ) vs. ) ) ) ) Defendant ) Docket No. (THIS FORM TO BE COMPLETED BY THE MEDIATOR WITHIN 10 DAYS OF CONCLUSION OF THECONFERENCE, WHETHER OR NOT AGREEMENT WAS REACHED BY THE PARTIES.) 1. Mediated settlement conferences were held before me on ________________, 20____; ________________, 20____; and, __________________, 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: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ( ) At an impasse. ( ) In need of further mediation. (I ___am/ ___am not willing to ( ) Continued (Date) _____________________ <<<<<<<<<********>>>>>>>>>>>>> 23. Plaintiff ___was/ ___was not present. Defendant ___was/ ___was not present.4. Other participants were: ____ attorney for plaintiff _________________________________ ____ attorney for defendant _______________________________ ____ representatives for insurance carrier _______________________________ ____ guardian ad litem ___________________________________ ____ experts _____________________________________________________ ____ others ______________________________________________________5. This case was co-mediated with: ____________________________________.6. Choice of the mediator was by: ____ Stipulation of Mediator Selection ____ 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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