District Of Columbia > Statewide > Superior Court > Multi-Door Dispute Resolution Division
Early Mediation Form - District Of Columbia
| Early Mediation Form Form. This is a District Of Columbia form and can be used in Multi-Door Dispute Resolution Division Superior Court Statewide . |
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Superior Court of the District of Columbia MULTI-DOOR MEDICAL MALPRACTICE EARLY MEDIATION FORM To be used in selecting a mediator from the Multi-Door Medical Malpractice Mediator Roster and scheduling a mediation date through the Multi-Door Dispute Resolution Division. Case Number Case Caption Undersigned counsel, as well as individual parties, representatives of non-individual parties with settlement authority, and involved insurance companies with the required settlement authority, have agreed to be available for mediation on the three dates listed below, from 1:00 pm to 5:00 pm. All listed dates occur after the Initial Scheduling and Settlement Conference and within 30 days of that date, as required under D.C. Code ยง162821. Date Date Date Parties have reviewed the Multi-Door Medical Malpractice Mediation Roster and have agreed on the following mediators, listed below in order of preference: First Mediator Second Mediator Third Mediator Submitted by: Signature Atty. for: Date E-mail address: (or telephone number, if no e-mail address) Signature Atty. for: Date E-mail address: (or telephone number, if no e-mail address) Signature Atty. for: Date E-mail address: (or telephone number, if no e-mail address) The completed form must be filed with the court and e-mailed to: earlymedmal@dcsc.gov. Those unable to eFile may file the form with the Civil Clerk's Office and deliver a copy to the Multi-Door Dispute Resolution Division, 515 5th St. NW, Suite 105, Washington, DC 20001. Multi-Door will notify counsel or pro se parties promptly, by e-mail, when the mediation date has been set. American LegalNet, Inc. www.FormsWorkFlow.com
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