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Mediation Report Form. This is a Ohio form and can be use in Butler County (Court Of Common Pleas).
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APPENDIX G (L.R. 7.05) IN THE COMMON PLEAS COURT BUTLER COUNTY, OHIO MEDIATION REPORT FORM Case No: Case Caption: Parties Present: (Include attorneys, clients and insurance adjustors) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Result/Status: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Comments: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________ MEDIATOR SIGNATURE Please return completed report to the Court Administration office. DO NOT FILE. Appendix Page 9 American LegalNet, Inc. www.FormsWorkFlow.com