IN THE CIRCUIT COURT OF THE SECOND JUDICIAL CIRCUIT _________________ COUNTY, ILLINOIS _______________________________________ Petitioner, Petitioner v. _______________________________________ Respondent ent. Respondent ) ) ) ) ) ) No.:______________ MEDIATION ORDER The prerequisites to mediation having been fulfilled and it appearing that mediation of certain undetermined issues herein is required pursuant to Circuit Rule 21, the court finds: ______ As settlement of the qualifying issues appears imminent, appointment of a mediator is hereby deferred until the next case management conference. OR IT IS HEREBY ORDERED that this cause is referred for mediation of the following issues: ____ Child Custody; _____ Child Visitation; ____Removal of Child from Jurisdiction; ____ Other _____________________________________________________________. The court hereby appoints ______________________________________, an approved mediator of this circuit; or, pursuant to the direction of the Office of Chief Judge, the court hereby appoints Judge _________________________________________, a judicial mediator, to conduct the mediation in this case. The Circuit Clerk shall mail or fax to the appointed mediator copies of the following: this order, record sheets, judgments and orders, pleadings in dispute, financial affidavits, and pre-mediation questionnaires. The payment for the private mediation shall be as follows: ____________% by the Petitioner and ____________% by the Respondent. A continued case management conference is set for _____________________________@ ____________ a.m./p.m. by which setting the mediator, unless appointment has been deferred, shall report the status of the mediation. The Circuit Clerk shall mail notice of such setting, together with a copy of this order, to counsel and unrepresented parties who are not present. Enter: _______________ ____________________________________________ JUDGE Page 1 of 1 Rev.5/23/2011 Mediation Order 69 American LegalNet, Inc. www.FormsWorkFlow.com