STATE OF ILLINOIS ) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS MEDIATOR NAME ___________________________ ADDRESS _______________________________________ ____________________________________ PHONE # ____________________________________ CASE No. ____________________________________ _______________________________________ Plaintiff vs _______________________________________ Defendant ORDER FOR MEDIATION Check if present: Plaintiffs’ Attorney Defendant’s Attorney This cause coming on for hearing on motion of__________________________, and the court being advised in the premises. FINDS: 1. 2. 3. 4. 5. 6. 7. 8. That a dispute exists between the parties involving (custody) (visitation ) (removal) (other parenting issues)__________________________________________________and that there is a reasonable likelihood that mediation will assist the parties in resolving such dispute(s). The parties shall contact the mediator on or before_____________ _______, 200___ for appointment to begin mediation. The initial payment for three (3) hours of mediation services shall be allocated as follows: ___________________________________________________________________________. Further payments shall be allocated as follows: _____________________________________. All discovery is stayed, except written discovery not related to issues in mediation, until_______/______/200____, and all parties and their counsel shall use their best efforts to facilitate the mediation process. This cause is continued to ______________ _____, 200_____ at _____ a.m. in courtroom ______ for mediator’s report and status. Attorney ______________________ shall forthwith send a copy of this order to the mediator and both parties and to the Mandatory Mediation Program, 57 N. Ottawa 3rd Floor, Joliet, IL. 60432 The mediation ordered herein is subject to the Local Rules of the Twelfth Judicial Circuit. Dated: __________________________, 20_______ Enter: ____________________________________ Judge Plaintiff’s Attorney: Defendant’s Attorney: Name _____________________________________ Name _____________________________________ ARDC # ___________________________________ ARDC # ___________________________________ Firm Name _________________________________ Firm Name _________________________________ Address ___________________________________ Address ___________________________________ City & Zip _________________________________ City & Zip _________________________________ Telephone _________________________________ Telephone _________________________________ Fax _______________________________________ Fax _______________________________________ PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY White – Court Yellow – Plaintiff Pink – Defendant American LegalNet, Inc. www.FormsWorkflow.com Form CO 12 Revised (10/06)