* * * * * * * * ________________________ * Defendant FOR * v. CIRCUIT COURT * Plaintiff IN THE Civil No.: * * * * * * * ORDER FOR MEDIATION OF PROPERTY OR SUPPORT ISSUES this IN ACCORDANCE with Maryland Rule 17-103, and by agreement of the parties, it is day of , by the Circuit Court for County, Maryland, hereby ORDERED that the Plaintiff and Defendant participate in be conducted by: mediation session(s) to Name of Mediation Program or Mediator Address City State Zip Code ; and it is further Telephone Number [ ] ORDERED that, immediately upon receipt of this Order, the Plaintiff and Defendant contact the mediator to schedule the first mediation session; and it is further [ ] ORDERED that the first session with the mediator shall be (date) at (time); and it is further [ ] ORDERED that the issue(s) to be mediated are: ; and it is further [ ORDERED that Plaintiff shall pay a fee of $ for the mediation sessions. Plaintiff shall bring payment in full to the first session. The payment is to be made directly to the mediator or mediation program; and it is further ] American LegalNet, Inc. www.FormsWorkflow.com Page 1 of 2 CM 8 - Revised 7 March 2000 [ ] for the mediation ORDERED that Defendant shall pay a fee of $ sessions. Defendant shall bring payment in full to the first session. The payment is to be made directly to the mediator or mediation program; and it is further [ ] ORDERED that the fee for mediation is to be determined by the mediator and shall not exceed $ per person. JUDGE Recommended by: (Date) NOTICE Communications between the parties and the mediator shall be confidential and may not be disclosed, except as required by law. Unless otherwise agreed upon by the parties and mediator, it shall be the responsibility of the parties to draft a written agreement. cc: Mediator or Mediation Program Address City State Zip American LegalNet, Inc. www.FormsWorkflow.com Page 2 of 2 CM 8 - Revised 7 March 2000