STATE OF MICHIGAN JUDICIAL DISTRICT 6th JUDICIAL CIRCUIT Oakland COUNTY PROBATE MEDIATION STATUS REPORT Case No. Judge Court Address Court Telephone no. 1200 North Telegraph Road, Pontiac, MI 48341 (248) 975-9844 Plaintiff name(s), address(es) and telephone no. Defendant name(s), address(es) and telephone no. e V Plaintiff attorney, bar no., address and telephone no. Probate Defendant attorney, bar no., address and telephone no. In the matter of The mediator must submit this report within 7 days of completing mediation. 1. Mediation was completed on ___________. 2. The participants were: _______________________________________ on behalf of ________________________________ _______________________________________ on behalf of ________________________________ _______________________________________ on behalf of ________________________________ _______________________________________ on behalf of ________________________________ _______________________________________ on behalf of ________________________________ _______________________________________ on behalf of ________________________________ _______________________________________ on behalf of ________________________________ _______________________________________ on behalf of ________________________________ 3. This case was: a. mediated and settled. Final documents will be filed with the court within 14 days of filing this report. b. mediated not settled. This case shall be set for trial. c. mediated, further alternative dispute resolution proceedings are are not contemplated. d. mediation not held _____________________ _______ ____________________________ Date Signature ___________________________________ Mediator name (type or print) ADR Mediation Status Report MSR Rev. 12/2005 MCR 2.410(c)(3), MCR 3.216(H)(6) American LegalNet, Inc. www.FormsWorkflow.com