Notice Of Mediation With Proof Of Service
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Notice Of Mediation With Proof Of Service Form. This is a Michigan form and can be use in Kent Local County.
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Tags: Notice Of Mediation With Proof Of Service, Michigan Local County, Kent
CASE NO.
STATE OF MICHIGAN
NOTICE OF MEDIATION
17TH JUDICIAL CIRCUIT
Court address ADR OFFICE, 180 OTTAWA AVE NW, SUITE 3100, GRAND RAPIDS MI 49503
Plaintiff name(s), address(es), and telephone no(s).
Court telephone no. 616-632-5052
Defendant name(s), address(es), and telephone no(s).
V
Plaintiff attorney, bar no., address, and telephone no.
Defendant attorney, bar no. address and telephone no.
NOTICE OF MEDIATION
NOTICE IS HEREBY GIVEN that mediation in the above matter will take place
ON:
LOCATION:
If an attorney or a party has a conflict with the scheduled date or time of the mediation,
contact the mediator immediately.
OR
The undersigned mediator has determined that it would not be appropriate for them to
serve as the mediator in this case.
Proof of Service
The undersigned hereby certifies that a copy of this Notice was served upon all parties on the
date shown below.
Dated:
Address:
This Notice must be filed with the Court within 7 days of the mediator’s appointment.
GRLIB:470554.1\098718-00006
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