ADR-03 (03/17)MEDIATION REPORTPage 1 of 1 UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CASE NUMBERv.Plaintiff(s)Defendant(s).MEDIATION REPORT Name, Address and Telephone Number of Attorney(s): Instructions: The mediator must file this Report within 5 days after the conclusion of a mediation session even if the negotiations continue. If the case later settles with the assistance of the mediator, the mediator must file a subsequent Report.1.2.3.4. A mediation was held on (date): A mediation did not take place because the case settled before the session occurred.The individual parties and their respective trial counsel, designated corporate representatives, and/or representatives of the party's insurer:Appeared as required by Civil L.R. 16-15.5(b).Did not appear as required by Civil L.R. 16-15.5(b).Plaintiff or plaintiff's representative failed to appear.Defendant or defendant's representative failed to appear.Other:Did the case settle?Yes, fully, onYes, partially, and further facilitated discussions are expected. (See No. 4 below.)Yes, partially, and further facilitated discussions are not expected. No, and further facilitated discussions are not expected. The Mediator must electronically file original document in CM/ECF using one of four choices under "Civil => Other Filings => ADR/Mediation Documents => Mediation Report (ADR-3)." Dated:No, and further facilitated discussions are expected. (See No. 4 below.) If further facilitated discussions are expected, by what date will you check in with the parties? Signature of Mediator Name of Mediator (print) .. (date). American LegalNet, Inc. www.FormsWorkFlow.com