Mediators Report
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Mediators Report Form. This is a California form and can be use in Stanislaus Local County.
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Tags: Mediators Report, STAN-230, California Local County, Stanislaus
STAN-230
FOR COURT USE ONLY
MEDIATOR (Name and Address):
TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
FAX NO. (Optional):
SUPERIOR COURT OF CALIFORNIA, STANISLAUS COUNTY
MAILING ADDRESS: 1100 I Street
CITY AND ZIP CODE: MODESTO, CA 95354
BRANCH NAME: MODESTO
CASE NAME:
CASE NUMBER:
MEDIATOR’S REPORT
1.
Mediation (check one)
did not take place, because
.
is continuing until
took place on
2.
.
and is completed.
The mediation ended in (check one)
full agreement.
partial agreement.
no agreement.
(TYPE OR PRINT NAME)
(SIGNATURE OF MEDIATOR)
Date:
NOTE: Within 10 days of the end of the mediation process or by the ADR completion deadline set by the court,
the mediator must forward a copy of this report to the ADR Clerk at the Stanislaus County Courthouse. Please do
not include any confidential information on this form (see Evidence Code §1121).
July 1, 2006 (mandatory)
MEDIATOR’S REPORT
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