FORM 29. Confidential Mediator Report Form 29 Rev. 03/16 UNITED STATES COURT OF APPEALS FOR THE FEDERAL CIRCUIT Appellate Mediation Program CONFIDENTIAL MEDIATOR REPORT Short Caption Case Number Mediator's Name and Contact Information: Was a settlement agreement reached? Yes Full No Partial Date of First Contact with the Parties Date Settlement Agreement Signed/Mediation Terminated Total Mediator Time Who Participated: Lawyers Only Lawyers and Clients Nonparties How did you conduct the mediation? Number of Face-to-Face Meetings Number Telephone Conferences Number of Written Submissions Number of Other Contacts/Conferences If the case was settled, please describe any elements in the settlement (e.g. an apology) that could not have been obtained through judicial disposition: American LegalNet, Inc. www.FormsWorkFlow.com FORM 29. Confidential Mediator Report Form 29 Rev. 03/16 On a separate sheet of paper, please evaluate the mediation. For example, were the techniques you used effective? Did the mediation present any unusual problems? If the case settled, what did you do to achieve that result? In hindsight, would you do anything differently? How can the mediation program be improved? Did you have expertise in the legal issues involved in the case? What impact, if any, did this have on the mediation? Yes No Was the Circuit Mediation Office responsive/supportive? Will you recommend others join the program as volunteer mediators? Will you participate in the mediation program again? Comments/suggestions, please: Yes Yes Yes No No No Thank you for your participation in the program. Please return this completed form to: Annette Young Circuit Mediation Administrator Office of General Counsel, Mediation 717 Madison Place, NW Washington, DC 20439 American LegalNet, Inc. www.FormsWorkFlow.com