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

Background Information
Harriet Futch, Archibald Rutledge Academy. Gene Gabrelli ... Kohan Moody, Clemson University. Larry Moody, SC Forestry C

Background information
information. Munich, June 13, 2016. Radar sensors for A9 Digital Freeway Test. Field. Siemens and Infineon have develope

Mediation Clinic Form
Student Name (last name first):. E-mail: Semester for which you are registering: ______. Number of credits for which you

Criminal Background Check Form
Criminal Background Check. Please read the instructions below. Failure to follow these directions will delay the backgro

BACKGROUND INVESTIGATION AUTHORIZATION FORM
I hereby authorize Burnsville-Eagan-Savage Independent School District 191 and/or ... (MN/CA/OK Residents Only): Do you

Criminal Background Checks Background Information and Guidance
A criminal background check is a process of looking into the history of an individual to ... There are many different ty

Background Information - Demco
“The Spying Game Role Cards”. Not everyone who helped the war effort was highly visible. Both the. Continental and B

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 Disclosure
CAREGIVER BACKGROUND CHECK LAW. In accordance with the provisions of Chapters 48.685 and 50.065, Wis. Stats., for person

Transcendentalism Background Information
This group of people accepted Emerson's idea that truth “transcends” (or goes beyond) what people observe with their

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