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Mediation Evaluation (Mediators) Form. This is a Alabama form and can be use in Appellate Mediation Program Appellate.
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Tags: Mediation Evaluation (Mediators), 14, Alabama Appellate, Appellate Mediation Program
F14 Revised 06/10
Appellate Mediation Program
Mediator Evaluation
(To be completed by mediator)
Print Form
Date:
Mediator:
Type of Case:
Other (specify):
Your responses will serve as a guide to the appellate mediation office about changes
or improvements that need to be made to the program. Your responses are confidential
and will not be part of the appellate court file.
The appeal was from a:
Summary judgment
Final judgment after jury trial
Final judgment after nonjury trial
Other
Other appealable order, if so, please indicate statutory provision or rule
allowing appeal. _____________________________________
Prep Time(hours):
Session Time(hours):
Follow Up Time(hours):
Total Mediation Fees for all parties:
# of Sessions:
How did the case resolve?
Full Resolution
Partial Resolution
No Resolution
Other(specify)______________________________________________________
If the mediation resolved more than one dispute, check all that were resolved:
Another Appeal
A trial court matter
A matter not in litigation
On a scale of 1(very dissatisfied) to 5(very satisfied) please rate the court's
mediation program as to:
Efficiency(scheduling, etc.)
Paperwork
Courtesy and cooperation
Pro bono requirement
Comments on the above, including suggestions for program improvements:
PLEASE COMPLETE THIS FORM WITHIN SEVEN DAYS OF COMPLETION OF MEDIATION AND RETURN TO:
Appellate Mediation Office, 300 Dexter Avenue, Montgomery, AL 36104 or
mediation@appellate.state.al.us
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