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Order For Appointment Of Mediator Form. This is a Illinois form and can be use in Cook Local County.
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Order for Appointment of Mediator (Form 2B)
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(12/22/06) CCCH 0134
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT, CHANCERY DIVISION
_____________________________________________________
Plaintiff(s)
v.
_____________________________________________________
Defendant(s)
}
4425
No. _______________________________
ORDER FOR APPOINTMENT OF MEDIATOR
(To be completed and filed with the Court, with a courtesy copy delivered to the Chancery Division Court-Annexed
Mediation Supervisor, pursuant to Illinois Supreme Court Rule 99 as a mechanism for reporting to the Supreme Court
on the mediation program.)
THIS CAUSE coming before the Court pursuant to Cook County Circuit Court Rule 21, Chancery Division
Court-Annexed Mediation; the parties having failed to agree upon a mediator within twenty-one (21) days since entry of
the Order of Referral and the Court, pursuant to Cook County Circuit Court Rule 21.03(A)(2), hereby appoints the
following mediator to serve in this matter:
(Name) _____________________________________________ (Telephone) _____________________________
(Address) ______________________________________________________________________________
(Email) _________________________________________________________________________________
ENTERED:
Dated: ___________________________, _________
_________________________________________
Judge
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
Judge’s No.