Form 29 Confidential Mediator Report Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Form 29 Confidential Mediator Report Form. This is a Official Federal Forms form and can be use in US Court Of Appeals For The Federal Circuit.
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Form 29
FORM 29. Confidential Mediator Report
UNITED STATES COURT OF APPEALS
FOR THE FEDERAL CIRCUIT
Appellate Mediation Program
CONFIDENTIAL MEDIATOR REPORT
Short Caption
Case Number
Mediator’s Name and Contact Information:
□ Yes
□ No
□ Full
Was a settlement agreement reached?
□ Partial
Date of First Contact with the Parties
Date Settlement Agreement Signed/Mediation Terminated
Total Mediator Time
Who Participated:
□ Lawyers Only
□ Lawyers and Clients
□ Nonparties
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FORM 29. Confidential Mediator Report (continued)
How did you conduct the mediation?
□ Number of Face-to-Face Meetings
□ Number of Telephone Conferences
□ Number of Written Submissions
□ Number of Other Contacts/Conferences
If the case was settled, please describe any elements in the settlement (e.g., an
apology) that could not have been obtained through judicial disposition:
On a separate sheet of paper, please evaluate the mediation. For example, were the
techniques you used effective? Did the mediation present any unusual problems? If
the case settled, what did you do to achieve that result? In hindsight, would you do
anything differently? How can the mediation program be improved?
Did you have expertise in the legal issues involved in the case?
□ Yes
□ No
□ Yes
□ No
Will you recommend others join the program as volunteer mediators?
□ Yes
□ No
□ Yes
□ No
What impact, if any, did this have on the mediation?
Was the Circuit Mediation Office responsive/supportive?
Will you participate in the mediation program again?
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FORM 29. Confidential Mediator Report (continued)
Comments/suggestions, please:
Thank you for your participation in the program. Please return this completed form
to:
Annette B. Young
Mediation Administrator
United States Court of Appeals for the Federal Circuit
717 Madison Place, NW
Washington, DC 20439
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