Illinois > Local County > Lake > Family Law
Order Of Referral To Mediation 171-329 - Illinois
| Order Of Referral To Mediation Form. This is a Illinois form and can be used in Family Law Lake Local County . |
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IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS IN RE THE MARRIAGE OF: ) ) Petitioner, ) v s. ) Gen. No. ) ) Respondent. ) ORDER OF REFERRAL TO MEDIATION Pursuant to Local Rule 11.13, the parties are ordered to participate in mediation. Mediator : Name Address Telephone Fax Issue(s) to be mediated: U Initial Custody U Modification of custody U Visitation schedule U Visitation abuse issues pursuant to 750 ILCS 5/607.1 U Removal U Joint custody pursuant to 750 ILCS 5/602.1 U Other non-economic issues relating to the children ( specify) U Economic issues involving the parties ( specify) First Status Date ( within 7 weeks) The parties are ordered to co ntact the mediator within two business days of this order. The parties shall participate in an orientation session which shall take place no later than 21 days from the date of this order. Party A: Name of Party Telephone Address of Party Attorney for Party Telephone Attorneys Address Fax Party B: Name of Party Telephone Address of Party Attorney for Party Telephone Attorneys Address Fax GAL/AFC/CR: Name Telephone Address Fee allocation : Party A % Party B % U This is a low-income case and the mediator shall provide servic es at a reduced fee. The parties represent to the court as follows : ( at least one box must be checked ) U No orders of protection have ever been entered involving the parties to this case, or U The parties are, or have been in the past, involv ed in a proceeding(s) under the Illinois Domestic Violence Act. U A current order of protection proh ibits one of the parties from having any contact with the other party. County and Case Number(s) of ID VA cases involving the parties: Page 1 of 2 171-329 (R12/04) American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2Additional Matters: If the parties to mediation are subject to an order of protection which prohibits contact, they shall attend separate orientation and mediation sessions only. At the initial orientation session the mediator shall inform the parties of their rights and obligations in mediation. In addition, at the initial orientation session an d from time to time as necessary during the course of the mediation, the mediator shall scr een the parties for the presence of impairments to mediation. An impediment to mediation is defined as any condition, including but not limited to domestic violence or intimidation, substance abuse, child abuse, mental illness or a cognitive impairment, which hinders the ability of a party to negotiate safely, competently, or in good faith. If a mediator determines that an impairment exists which hinders the ability of the parties to negotiate safely, competently, or in good faith, meditation shall terminate and the case shall be returned to court for further proceedings, unless the parties agree to continue to mediate and the mediator determines that the implementation of sa feguards would remove the impediment(s) to safe an d productive mediation. The parties are expected to attempt to mediate their dispute in good faith. Failure to attend a mediation session or failure to participate in mediation in good faith may subject a party to sanctions. Sanctions may includ e an assessment of mediation costs and/or attorneys fees incurred by the other party. Mediation shall terminate upon the following: a. When all issues have been resolved, or b. When an individual nece ssary to facilitate settlement of the dispute is not present, or c. When in the opinion of the mediator no purpose would be served by continuing the mediation, or d. When the mediator dettermines hat an impairment exists which hinders the ability of the parties to negotiate safely, competently, or in good faith, or e. Upon order of court for good cause shown. The mediator shall submit a report to the court pr ior to the status date. The report shall contain the following information: a. The number, duration, and attend ance at mediation sessions. b. Whether mediation has been terminated. c. Whether the mediator recommends additional medi ation sessions. d. Whether an agreement was reached. e. A copy of any written agreement signed by all parties to the agreement. f. The status of payment of the fees for mediation. E ntered: Judge Dated at Waukegan, Illinois This _____ day of ___________________, 20_____ Prepared by : Name Phone Address ARDC # City/State/Zip Page 2 of 2 171-329 (R12/04) American LegalNet, Inc. www.USCourtForms.com
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