Mediation Outcome
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Mediation Outcome Form. This is a North Carolina form and can be use in Randolph (District 19B) Local County.
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Tags: Mediation Outcome, North Carolina Local County, Randolph (District 19B)
MEDIATION OUTCOME
STATE OF NORTH CAROLINA
19B JUDICIAL DISTRICT
Montgomery
CASE NUMBER
Moore
Randolph
____- CVD -______________
PLAINTIFF
ATTORNEY
DEFENDANT
ATTORNEY
DATE OF
ORIENTATION
Plaintiff
DATE MEDIATION
WAIVED
Appeared
Failed to Appear
Appointment
Date 1
Defendant
Appeared
Failed to Appear
Appointment
Date 2
OUTCOME
DATE
Inappropriate for Mediation
Agreement
Temporary Agreement
Partial Agreement
Consent Order before Orientation
Consent Order after Orientation/Mediation
Unresolved
No Service
Dismissed
Other:_______________________________
Notes: ____________________________________________________________
__________________________________________________________________
__________________________________________________________________
____________________________________
Mediator
cc: Family Court
Attorneys
________________________
Date
4/1/2008
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