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Mediation Results Report Form. This is a South Carolina form and can be use in Richland Local County.
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Tags: Mediation Results Report, South Carolina Local County, Richland
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
)
IN THE COURT OF COMMON PLEAS
JUDICIAL SUBPOENA
)
RICHLAND COUNTY-against)
FIFTH : JUDICIAL CIRCUIT
)
:
)
)
MEDIATION RESULTS REPORT
:
Plaintiff
)
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .). . . . . . . . . . . . .
vs.
)
)
STATE OF SOUTH CAROLINA
Plaintiff(s)
)
THE PEOPLE OF THE STATE OF NEW YORK )
Defendant
TO
)
Docket No.
(THIS FORM TO BE COMPLETED BY THE MEDIATOR WITHIN 10 DAYS OF CONCLUSION OF THE
CONFERENCE, WHETHER OR NOT AGREEMENT WAS REACHED BY THE PARTIES.)
GREETINGS:
1.
Mediated settlement conferences were held before me on ________________, 20____;
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
________________, 20____; and, __________________, 20____.
,
the Honorable
at the
Court
located at
County of
in2.
room As a result of these conferences, this case should be considered in the check one): at any recessed
, on the
day of
, 20
, at
o'clock (please
noon, and
or adjourned date, to testify and give evidence as a witness in this action on the part of the
( )
Fully Settled (please check one):
( )
by Consent Judgment, to be filed by _________________________ or,
( )
by Voluntary Dismissal, to be filed by ___________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
(Name of Designee)
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,
( )
(Name of Designee)
, one of
day of
the Justices of the
, 20
Partially Settled, with agreement of the parties on the following issues:
____________________________________________________________
____________________________________________________________
(Attorney must sign above and type name below)
____________________________________________________________
____________________________________________________________
____________________________________________________________
Attorney(s) for
____________________________________________________________
____________________________________________________________
____________________________________________________________
Office and P.O. Address
( )
At an impasse.
( )
In need of further mediation. (I ___am/ Telephone No.:
___am not willing to
( )
Facsimile No.:
E-Mail Address:
Continued (Date) _____________________
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
3.
4.
Plaintiff
Defendant
___was/
___was/
-against-
___was not present.
Plaintiff(s)
___was not present.
Other participants were:
Calendar No.
:
JUDICIAL SUBPOENA
:
:
____ attorney for plaintiff _________________________________
:
____ attorney for defendant _______________________________
Defendant(s)
____ representatives for insurance carrier _______________________________
:
......................................................
____ guardian ad litem ___________________________________
____ experts _____________________________________________________
____ others ______________________________________________________
THE PEOPLE OF THE STATE OF NEW YORK
5.
This case was co-mediated with: ____________________________________.
TO
6.
Choice of the mediator was by:
____ Stipulation of Mediator Selection
____
GREETINGS: Court Order.
7.
The total number of hours all business and excuses being laid aside, you
WE COMMAND YOU, that spent in mediation was: _______ hours. and each of you attend before
,
the Honorable
at the
Court
located $_____________.
8.
County ofThe total mediator fees were at
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or9.
adjourned date, comments ofgive mediator: a witness in this action on the part of the
Further to testify and the evidence as
____________________________________________
________________________________________________________________________
________________________________________________________________________
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
, one of the Justices of the
Court in ________________________________________________________________________
County,
day of
, 20
________________________________________________________________________
(Attorney must sign above and type name below)
Date:__________________________
Signature of Mediator: _________________________
Attorney(s) for
Print Name of Mediator: _______________________
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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