Mediation Evaluation (For Mediators Only) | Pdf Fpdf Doc Docx | Florida

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Mediation Evaluation (For Mediators Only) | Pdf Fpdf Doc Docx | Florida

Mediation Evaluation (For Mediators Only)

This is a Florida form that can be used for Mediation within Appellate Courts, District Courts Of Appeal, 5th District.

Alternate TextLast updated: 5/2/2006

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IN THE DISTRICT COURT OF APPEAL FOR THE STATE OF FLORIDA FIFTH DISTRICT , Appellant(s), v. CASE NO. 5D , Appellee(s), ___________________________/ MEDIATION EVALUATION For Mediators Only Please take a few minutes to complete this form and return it to: Meredith G. Vincent, Mediation Coordinator Fifth District Court of Appeal 300 South Beach Street Daytona Beach, FL 32114 [Your responses will serve as a guide to the Court about changes or improvements whichneed to be made to the pilot program as it goes along, as well as whether it should becontinued at the end of the pilot year. Your responses are confidential and will not bepart of the appellate court file.] 1. WHAT KIND OF PROBLEM OR CASE WAS MEDIATED? (please select one) ____ Business Tort _____ Contract ____ Employment _____ Family matter (with children issues) ____ Insurance _____ Family matter (without children issues) ____ Real Estate _____ Personal injury/wrongful death ____ Other (please describe)______ ________________ _____________________________ ____________________ ______________________________________________________________________________________________________________2. WAS THE APPEAL FROM A: ____ Summary Judgment ____ Final Judgment after jury trial ____ Final Judgment after non-jury trial ____ Other Final appealable order<<<<<<<<<********>>>>>>>>>>>>> 23. WAS THE PROBLEM OR CASE RESOLV ED THROUGH MEDIATION AT THE APPELLATE LEVEL? ____ Yes, completely ____ No, made no progress ____ Made situation worse ____ Partially resolved (some issues stipulated to or resolved) ____ Issues or disputes directly involved in this appeal partially resolved ____ Issues or dispute not directly involved in this appeal resolved or partially resolved ____ Somewhat helpful in clarifying and simplifying issues for appeal ____ Other (please describe) __________________________________________ _________________ ______________________________________________________ _ __________________________________________________________________ 4. ARE ATTEMPTS TO SETTLE THE APPEAL STILL ONGOING? ______ ____________ ____________________ __________________________________________________________________ _________________________________________________ _5. WOULD YOU RECOMMEND APPELLATE MEDIATION? ____ Yes ____ NoPlease explain (optional) ___________________________________________________ ____________________________________ ___________________________________________________________________________________________________________ _6. PLEASE SUGGEST HOW YOU THINK WE C AN IMPROVE THE APPELLATE MEDIATION PROGRAM. ______________________________________________________ ______________________________________________________________ _________________________________________________ _________________________________________________ _____________________________________________ ________________ ______________________________________Date SignatureThe Mediator should file this report with Meredith G. Vincent, Mediation Coordinator, Fifth District Court of Appeal, 300 S. Beach St., Daytona Beach, FL 32114.

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