Mediation Background Information Form

Mediation Background Information Form

CONFIDENTIAL MEDIATION BACKGROUND INFORMATION FOR MEDIATION OFFICE REVIEW ONLY Submit this form directly to the Mediation Office. Do NOT file it in t...

202KB Sizes 0 Downloads 0 Views

Recommend Documents

Slavery Background information - Scotdec
Conditions on the plantations. Most enslaved Africans were sold to a plantation to either work in the fields, or as dome

background information - ABC15 Arizona
Jan 7, 2010 - SUBJECT: Consideration of Certificate Surrender of David Robertson, C-2009-136. SUBMITTED BY: Charles Eas

Background Information - Jason R. Rich
In conjunction with Que, he has also written Pottermore Secrets and Mysteries Revealed: ... Unofficial Guide To Pottermo

Background Information: Networked Mobility - IMP
That's why Siemens is working on an Integrated Mobility Platform (IMP), a B2B platform that makes it easier for operator

Bonn Challenge: Background information - BMUB
Mar 21, 2015 - Conservacion Patagonica – part of the commitments made to Initiative 20x20, launched in. December 2014. •

Background Check Information - IU Health
Whose name appears in a Sex Offender Registry. * Theft includes but is not limited to criminal conversion, receiving sto

Background Information - American Born Chinese
circumstances? Knowing that the book is autobiographical, do you think Yang grew up with these same demographics? Make a

FINANCIAL STATEMENT (Long Form) - US Divorce Mediation
Probate and Family Court Department. The Trial Court. Commonwealth of Massachusetts. CJ-D 301 L (4/07). C.G.F.. FINANCIA

Mediation: incomplete information bargaining with filtered
Journal of Mathematical Economics 39 (2003) 803–830. Mediation: incomplete information bargaining with filtered commun

Gerechtigkeit durch Mediation - Mediation aktuell
Die Behandlung von Gerechtigkeit in der Mediation 15. 3.1. Die Suche .... Parteien nur suboptimal funktionierende Gerich

CONFIDENTIAL MEDIATION BACKGROUND INFORMATION FOR MEDIATION OFFICE REVIEW ONLY

Submit this form directly to the Mediation Office. Do NOT file it in the clerk’s office or otherwise disclose it to the court or to other parties. Case Name: Case No.:

1. Please identify your client(s) and provide contact information for each lawyer who will participate in the mediation conference. If more than one attorney is involved, the attorney with the most direct relationship with the client is required to participate in the conference and should be listed as Lead Mediation Counsel below. Client Names(s): Appellant Appellee Other

Details:

Lead Mediation Counsel: Name: Firm Name: Address: City/State/Zip: Telephone*: E mail: Fax:

Other counsel who will participate on behalf of your client: Name: Firm Name: Address: City/State/Zip: Telephone*: E mail: Fax:

2. Identify each client who will participate in the mediation conference. If they will participate in the mediation conference but at a different telephone number, please list the number where they can be reached. Name: Position: Telephone*:

*The mediator will call all mediation participants. Please provide the best number at which each participant can be reached. You are reminded that cell phones are not permitted.

Page 1 of 2 Return by e-mail to [email protected] or fax (513/564-7349), at least five working days prior to the mediation conference, to the attention of the Mediation Administrator. Rev 1/14

CONFIDENTIAL MEDIATION BACKGROUND INFORMATION FOR MEDIATION OFFICE REVIEW ONLY

Submit this form directly to the Mediation Office. Do NOT file it in the clerk’s office or otherwise disclose it to the court or to other parties. CONFIDENTIAL INFORMATION This information will not be shared with other parties or their counsel. It is intended to help the mediator more effectively assist you in assessing prospects for settlement generally, and then, if warranted, by steering negotiations toward solutions that may satisfy the parties' interests. Please be as thorough and candid as possible. 1. Please state all specific interests and concerns, other than monetary, which you think should be taken into account in considering resolution of this case:*

2. Please identify any potential obstacles to settlement (on either side). If there have been prior settlement or mediation discussions, please provide relevant information that should be taken into account:*

3. Please provide any other information, comments, or insights to assist the mediator in understanding this case, the underlying dispute, and other issues relevant to settlement efforts:*

* If additional space is needed, please continue the responses on a separate page. Please e-mail this form and any continuation pages to the Mediation Office as a single pdf document (see e-mail instructions below).

Page 2 of 2 Return by e-mail to [email protected] or fax (513/564-7349), at least five working days prior to the mediation conference, to the attention of the Mediation Administrator. Rev 1/14