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Limited Appointment Of Mediation Assistance Program Counsel - Indiana
| Limited Appointment Of Mediation Assistance Program Counsel Form. This is a Indiana form and can be used in Southern District District Court Federal . |
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Plaintiff(s), v. Defendant(s). IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF INDIANA ) ) ) ) Case No._______________________ ) ) LIMITED APPOINTMENT OF MEDIATION ASSISTANCE PROGRAM COUNSEL The Court hereby appoints attorney named below to represent the pro se party solely for the limited purpose of assisting the pro se party in connection with a settlement conference in this case. Appointed counsel shall not be obligated to conduct any discovery, to prepare or respond to any motions and shall not be responsible for the trial of this case. Appointed counsel may file a motion to end the limited representation of the pro se party within ten days following completion of the settlement conference. Alternatively, appointed counsel may, if desired, enter a full appearance at that time; however, counsel may neither charge the pro se party, nor collect under any feeshifting statute, any attorney's fees for hours worked or costs incurred during the time while this limited appearance remains in effect. Name of Appointed Counsel: ________________________________________________ Law Firm: ________________________________________________ Street Address: ________________________________________________ Suite Number: ________________________________________________ City, State & Zip Code: ________________________________________________ Telephone Number: ________________________________________________ I hereby acknowledge that I have read, understand and agree to the terms of this Limited Appointment of Mediation Assistance Program Counsel. Dated:______________________ ___________________________________________ Pro Se Party ENTER: Dated:______________________ ___________________________________________ Judge American LegalNet, Inc. www.FormsWorkFlow.com
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