Print Form Mediator Report (Form 6) Clear Form (12/22/06) CCCH 0132 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, CHANCERY DIVISION } ____________________________________________________ Plaintiff(s) v. ____________________________________________________ Defendant(s) 3488 No. ________________________________ _______________________________ Judge Judge’s No. MEDIATOR REPORT (To be completed at the end of each mediation and filed with the Court, with a courtesy copy delivered to the Chancery Division Court-Annexed Mediation Supervisor, pursuant to Illinois Supreme Court Rule 99 as a mechanism for reporting to the Supreme Court on the mediation program.) Mediator Name: ______________________________________ Case Type: Case Number: ___________________________ Administrative Review Employment (Wrongful Termination) Class Actions General Tort Neighbor Disputes Commercial Litigation Insurance Coverage Personal Injury Condominium Disputes Mechanics Liens Products Liability Construction Law Medical Malpractice Probate Corporations/Partnerships Mortgage Foreclosures Real Property Disputes Employment Agreements Municipal/Public Sector Law Other (list below) ______________________________________________________________________________________ The undersigned mediator, selected by the attorney/s appointed by the Court pursuant to the Order entered on the________ day of ____________________________, _________, reports to the Court as follows: A. A settlement of this matter has been reached has been reached in part has not been reached B. (If a settlement was reached) The party designated to prepare the settlement agreement and stipulation to dismiss is ______________________ _______________________________; to be submitted to the court by __________________________, ________ (Date) C. Date mediation began:______/______/______ Date ended:______/______/______ Number of sessions: _______ D. Hours in mediation:__________ Hours of preparation:__________ E. How many from each category attended? _______ Lawyers _______ Clients _______ Non-Parties (please list, e.g., witnesses, spouse) ____________________ __________________________________________________________________________________ __________________________________________________ Dated: ____________________________, _________ Signature of Mediator DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS