UNITED STATES COURT OF APPEALS DISTRICT OF COLUMBIA CIRCUIT 333 Constitution Avenue, NW Washington, DC 20001-2866 Phone: 202-216-7000 | Facsimile: 202-219-8530 REQUEST TO ENTER APPELLATE MEDIATION PROGRAM Case Number: Caption: Appellant Petitioner vs. Appellee Respondent Intervenor I would like the above case considered for entry into the Appellate Mediation Program. Signature Appellant Appellee *** DO NOT FILE THIS REQUEST THROUGH CM/ECF *** Please fax completed form to 202-219-8530 or mail to: Appellate Mediation Program Attention: Mark J. Langer Clerk, U.S. Court of Appeals E. Barrett Prettyman U.S. Courthouse 333 Constitution Avenue, N.W. Washington, D.C. 20001 To preserve the confidentiality of this request, the Court will not notify counsel if the request for mediation is rejected. If the case is selected for mediation, on the basis of this request and other factors, you will be notified accordingly. USCA Form 61 Oct. 2010 (REVISED) American LegalNet, Inc. www.FormsWorkFlow.com THE APPELLATE MEDIATION PROGRAM The United States Court of Appeals for the District of Columbia Circuit has established an Appellate Mediation Program to encourage the settlement of appellate cases. Cases are selected for mediation jointly by the Legal Division of the Clerk’s Office and the Director of the Appellate Mediation Program. They are mediated by attorney-volunteers, who are selected by the Court and trained by dispute resolution professionals to perform the service. The attorneys who mediate in the Appellate Mediation Program are distinguished members of the bar, experienced mediators in private practice and members of local law school faculties. Mediators settle about a third of the cases they handle. All mediation sessions are confidential and, unless the parties request such a change, do not alter the briefing or oral argument schedule. Information that is provided to the mediator during the course of the mediation is not made available to the judges and does not become part of the record on appeal. Parties may request mediation by completing the “Request to Enter Appellate Mediation Program” on the other side of this page and sending it to the Clerk of the Court. Although such requests are not automatically granted, each request is given special consideration. USCA Form 61 Dec 2009 (REVISED) American LegalNet, Inc. www.FormsWorkFlow.com