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Confidentiality Agreement And Nonrepresentation Acknowledgment Form. This is a Illinois form and can be use in Kane Local County.
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Tags: Confidentiality Agreement And Nonrepresentation Acknowledgment, MED-004, Illinois Local County, Kane
STATE OF ILLINOIS
IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT
KANE COUNTY, ILLINOIS
THIS IS AN ARBITRATION CASE
Case No.
Plaintiff(s)
Defendant(s)
Plaintiff(s) Atty.
Defendant(s) Atty.
Judge
A copy of this order
Plaintiff Atty.
Court Reporter
should be sent
has been sent
Defense Atty.
Deputy Clerk
Other
File Stamp
CONFIDENTIALITY AGREEMENT AND NONREPRESENTATION ACKNOWLEDGMENT
IT IS HEREBY AGREED by and between the mediation participants
and
, Mediator,
that all matters discussed during any and all mediation sessions shall remain confidential and shall not be disclosed by the
participants or the mediator in any court of law. All oral and written communication occurring during the mediation,
other than executed settlement agreements, shall be confidential, exempt from discovery, and inadmissible as evidence in
the underlying cause of action unless all parties agree otherwise.
The parties and mediation participants further acknowledge that the Mediator,
and all members of his/her law firm,
,
, have never represented any party in this
case and will not afford or provide any legal advice to any such party or participant.
Date:
Mediator:
Plaintiff(s):
Defendant(s):
Plaintiff(s) Attorney:
Defendant(s) Attorney:
Representative(s):
Representative(s):
MED-004 (04/09)
Original - Clerk
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