Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Agreement To Mediate Form. This is a Tennessee form and can be use in Parenting Plan Statewide.
Loading PDF...
Tags: Agreement To Mediate, Tennessee Statewide, Parenting Plan
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
:
AGREEMENT TO MEDIATE
Plaintiff(s)
We, the undersigned, understand and consent to the following:
-against-
Index No.
Calendar No.
JUDICIAL SUBPOENA
:
This med iation is being c onducted pursuant to the guidelines of R ule 31 of the Tenness ee Supre me Cou rt.
:
.
ROLE OF THE MEDIATOR:
The court may order the parties to appear at the first session, but mediation is a voluntary, cooperative
:
process in w hich the partie s work on re solving their ow n disputes o utside the co urt process with the assistance of a
trained and impartial mediator. The mediator serves as a guide to the parties during their negotiation efforts. The
Defendant(s)
:
.mediator .helps .the . . rties .to .comm unicate .effective. ly,. gather. and. a nalyze inform ation, define issu es, generate
. . . . . . . . . . . pa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
alternatives, explore consequences and reach agreements acceptable to both parties. The mediator does not make
decisions o r create agre ements for the parties; the pa rties are respo nsible for the ter ms of their ow n agreeme nt.
ATTENDANC E
THE PEOPLE OFAT SESSIONS:OF NEW YORK
THE STATE
The average session for family law mediation lasts approximately three and one-half hours. The number of
sessions required to resolve a d ispute varies with the number and c omplexity of the issues to be decid ed. Because
TO
mediation is a voluntary process, each party has the right to terminate mediation at any time and for any reason, as
does the m ediator. All parties agree to appear on time for the session(s). If there is some conflict in schedule,
that party will immediately notify the mediator.
CONFIDENTIALITY:
GREETINGS:
All communications made during or in connection with the mediation which are related to the dispute, and
all materials in this case file of the mediator, shall be and remain confidential, as provided by the statute. Neither
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
party shall call the m ediator as a witness in any jud icial procee ding. No c onfidential m aterial shall be d isclosed in
the Honorable
at the
Court
any such proceeding, except as agreed by the parties. Allegations of child abuse and threats of future harm to any
at
County of ll not be held c onfidentiallocatedthe statutes. In ad dition, in the eve nt that there are a ny compla ints
person sha
as p er
this mediation, confidentialityat
inagainst the mediatoron the fromday of
room
, resulting
, 20
, shall be waived in order for each partyand at any recessed
o'clock in the
noon, and the
mediator to presentto testify and give evidence as a witness in this action on the part of the
and defend the comp laints.
or adjourned date,
FULL DISCLOSURE:
Each party shall provide full and complete disclosure of all relevant and material property and financial
matters necessary to reach a just agreement in family law mediation. Failure to provide such disclosure may make
Your failure to comply with this subpoena is punishable as a contempt of court and will make you
the future agree ment void or subjec t the parties to alle gations of pe rjury.
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 N BY ATTOR NEYS:
REPRESENTATIO to comply.
The mediator may provide legal information, but not legal advice. Parties are encouraged to seek such legal
advice. Each party has the op portunity to have counsel present dur ing mediation or to consult with
Witness, Honorable
, one of the Justices of the
independent legal counsel at anytime during mediation and is strongly encouraged to do so. Each party to the
Court in should hav e County, agre ement of wed by ind epende nt counsel p rior to signing the agreemen t.
day revie
, 20
mediation
any draft
FEES FOR MEDIATOR:
The parties shall pay the required fee, in advance, per session in family mediation. If a court-ordered
(Attorney must sign above and type name below)
mediation, payment shall be as outlined on the court’s sliding scale. Additional fees may be charged for the time
spent drafting the agreement. At the time the parties review the agreement, they shall pay for the time spent drafting
the agreem ent.
Attorney(s) for
Mother
Date
Office and P.O. Address
Father
Mediator
Date
Telephone No.:
Date
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
,