Mediation Report Form. This is a Florida form and can be use in District Courts Of Appeal Appellate Courts.
Tags: Mediation Report, Florida Appellate Courts, District Courts Of Appeal
IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT , Appellant(s) v. Appellate Case No: 5D County Case No: , Appellee(s). / MEDIATION REPORT In accordance with the Court’s mediation order, a mediation was held on , 200 and the results of that mediation are indicated below. 1. (a) The following individuals, parties, corporate representatives, and/or claims professionals attended and participated in the mediation conference: All individual parties and their respective appellate counsel Designated corporate representatives Required claims professionals (b) The following individuals, parties, corporate representatives, and/or claims professionals failed to appear and/or participate as ordered: American LegalNet, Inc. www.FormsWorkflow.com 2. The mediation was concluded with the following result: (a) A settlement agreement executed by all parties and counsel subject to and conditioned on the following action by the Fifth District Court of Appeal: Dismissal of Appeal specific Relinquish Jurisdiction to Circuit Court for the following purpose: Other Action as follows: CHECK ONE: The mediator is holding in escrow an executed joint stipulation for dismissal in the form attached hereto, which shall be filed upon completion of settlement terms; or Executed Joint Stipulation for Dismissal is attached (b) A stipulation limiting the issues for determination by the Fifth District Court of Appeal to the following: (i) Direct appeal: (ii) Cross appeal: 2 American LegalNet, Inc. www.FormsWorkflow.com (iii) (c) Settle other issues/cases not here involved: An impasse as to all issues. 3. The total time devoted to the mediation by the mediator was ______ hours, for which the mediator charged $________ hourly for a total of $________. 4. Completed Mediation Evaluation by Mediator is attached hereto. Mediation Evaluations were furnished to the parties and attorneys to complete and return to the Mediation Coordinator. DONE this day of , 200 in , Florida. Signature of Mediator Name of Mediator: Mailing Address: Telephone Number: E-Mail: Fax: CERTIFICATE OF SERVICE The Mediator should file this report with Penny H. Cooper, Mediation Coordinator, Fifth District Court of Appeal, 300 South Beach Street, Daytona Beach, Florida 32114. 3 American LegalNet, Inc. www.FormsWorkflow.com