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Private Early Mediation - District Of Columbia

Private Early Mediation Form. This is a District Of Columbia form and can be used in Multi-Door Dispute Resolution Division Superior Court Statewide .
 Fillable pdf Last Modified 6/16/2010
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Superior Court of the District of Columbia PRIVATE EARLY MEDIATION FORM for Medical Malpractice Mediation To be used to notify the court of the selection of a private mediator and a scheduled mediation date in a medical malpractice matter. Case Number Case Caption Undersigned counsel have hired a private mediator, (name of mediator) , who is "an individual judge or lawyer with at least 10 years of significant experience in medical malpractice litigation," as required under D.C. Code ยง16-2821. Mediation of this matter is scheduled on (time) (date) at, , which is no later than 30 days after the Initial Scheduling and Settlement Conference. The mediator will complete a mediation report (available at www.dccourts.gov/medmalmediation) at the conclusion of the mediation, to be filed with the court by the plaintiff. Submitted by: Signature Atty. for: Date Signature Atty. for: Date 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 send/deliver a copy to the Multi-Door Dispute Resolution Division, 515 5th St. NW, Suite 105, Washington, DC 20001. American LegalNet, Inc. www.FormsWorkFlow.com
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