Mediators Oath Or Affirmation Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Mediators Oath Or Affirmation Form. This is a New York form and can be use in Attorneys Statewide.
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Tags: Mediators Oath Or Affirmation, UCS 137-8, New York Statewide, Attorneys
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
UCS 137-8 (11/01)
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
MEDIATOR’Plaintiff(s)
S OATH OR AFFIRMATION
-against-
:
:
I, _______________________________________, hereby agree to serve as a
:
mediator pursuant to Part 137 of the Rules of the Chief Administrator and I swear or affirm that I will
Defendant(s)
:
. .mediate. all .matters .coming . . . . . . me. faithfully .and. fairly. . . .
. . . . . . . . . . . . . . . . . . . . before . . . . . . . . . . . . . . . . .
THE PEOPLE OF THE STATE OF NEW YORK
Signed: _____________________________
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Affirmed
located at
County of before me this
in____ day of ______________, 200__.
room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
___________________________
(Notary Public)
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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