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Mediation Results Report Form. This is a South Carolina form and can be use in Circuit Court Statewide.
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Tags: Mediation Results Report, South Carolina Statewide, Circuit Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
STATE OF SOUTH CAROLINA
Index No.
Calendar No.
:
)
IN THE CIRCUIT COURT FOR THE
JUDICIAL SUBPOENA
)
-against:
________________________ COUNTY
)
_________ JUDICIAL CIRCUIT
)
:
)
_________________________________
Plaintiff
)
:
)
vs.
)
Defendant(s)
:MEDIATION RESULTS REPORT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .). . . . . . . . . . . . .
_________________________________
)
Defendant
)
____________________________________)
Docket No. ________________________
THE PEOPLE OF THE STATE OF NEW YORK
Plaintiff(s)
(THIS FORM TO BE COMPLETED BY THE MEDIATOR WITHIN 10 DAYS OF
TO
CONCLUSION OF THE CONFERENCE, WHETHER OR NOT AGREEMENT WAS
REACHED BY THE PARTIES.)
GREETINGS:
1.
Mediated settlement conferences were held before me on _______________, 20_______.
WEa result of these conferences, this case should be considered (please check one): attend before
2.
As COMMAND YOU, that all business and excuses being laid aside, you and each of you
,
the Honorable
at the
Court
located at
County of
( )
Fully Settled (please check one):
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
( ) by Consent Judgment, to be filed by _______________________________ or,
(Name of Designee)
( ) to Voluntary Dismissal, to is filed by ________________________________
Your failureby comply with this subpoenabe 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.
( )
Partially Settled, with agreement of the parties on the following issues:
(attach separate sheet, if necessary): ____________________________________
Witness, Honorable
, one of the Justices of the
__________________________________________________________________
Court in
County,
day of
, 20
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
(Attorney must sign above and type name below)
( )
At an impasse. The mediation session was productive and there is the possiblility
that further discussion over settlement options could lead to an agreement.
Attorney(s) for
( )
( )
3.
In need of further mediation. (I _____ am/ _____ am not willing to mediate this
case further.
Continued (Date) ____________________
Office and P.O. Address
Plaintiff ____ was/ _____ was not present.
Telephone No.:
Defendants _____ were/ _____ was not present. Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
4.
-againstOther participants were:
Calendar No.
:
JUDICIAL SUBPOENA
:
:
_____ attorney for plaintiff:
_____ attorney for defendants:
:
_____ representatives for insurance carrier ____________________
_____ guardian ad litem ___________________________________
Defendant(s)
:
. . . . . . . . _____. .experts .___________________________________________
..... ...... ................................
_____ others ____________________________________________
5.
This case was co-mediated with: ______________________________________.
THE PEOPLE OF THE STATE OF NEW YORK
6.
TO
Choice of the mediator was by:
_____ Stipulation
_____ Court Order.
GREETINGS:
7.
The total number of hours spent in mediation was: _____ hours.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorabletotal mediator fees were $__________.
at the
Court
8.
the
located at
County of
in room
, on the
, at
o'clock in the
noon, and at any recessed
9.
Further comments of day of
the mediator: , 20
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with
subpoena of Mediator: a contempt of court and will make you
Date: ______________________ this Signatureis punishable as____________________________ 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.
Print Name of Mediator: ___________________________
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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