2nd copy - Defendant 3rd copy - Mediator Original - Court 1st copy - Plaintiff Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE CASE NO. ORDER FOR MEDIATION CIVIL DOMESTIC RELATIONS Court address Court telephone no. Plaintiff name(s), address(es), and telephone no(s). Defendant name(s), address(es), and telephone no(s). v Defendant's attorney, bar no., address, and telephone no. Plaintiff's attorney, bar no., address, and telephone no. Probate In the matter of IT IS ORDERED: 1. This case is ordered to mediation under a. by agreement of the parties. b. on motion of c. on the court's own motion. 2. The mediator will be a. MCR 2.411(A)(2) MCR 3.216 . . Name of mediator b. selected by agreement of the parties. The parties shall advise the ADR clerk of the mediator selected by agreement of the parties by . If the parties do not advise the ADR clerk of the mediator Date agreed upon by that date, the ADR clerk shall assign one as provided by the court's alternative dispute resolution plan. 3. Mediation must be completed within 30 60 90 days of the date this order is entered. The mediator shall promptly confer with the parties to schedule mediation within the deadline. 4. The costs of mediation shall be divided by the parties on a prorata basis unless otherwise agreed by the parties or ordered by the court or, for persons unable to pay for mediation, as provided by the court's alternative dispute resolution plan. 5. Unless otherwise ordered by the court, a. persons with authority to settle the case (including the parties to the action, their agents, representatives of lienholders, and representatives of insurance carriers) shall be present at the mediation. available by telephone at the time of the conference. The parties must provide to the mediator, as soon as possible, the names of the individuals mentioned above. b. the attorneys who intend to try the case shall attend the mediation. Date NOTICE: Judge Bar no. A party may move to set aside or modify an order for mediation within 14 days after entry of the order. CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the parties or their attorneys by first-class mail addressed to their last-known addresses as defined by MCR 2.107(C)(3). Date MC 274 (3/09) Signature ORDER FOR MEDIATION MCR 2.411, MCR 3.216 American LegalNet, Inc. www.FormsWorkFlow.com