COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE ___________ COURT OF ______________ COUNTY, TENNESSEE JUDICIAL SUBPOENA Plaintiff(s) -against__________________________________________ Plaintiff/Petitioner vs. __________________________________________ Defendant/Respondent : : NO. _________________ : Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . .ORDER.TO .PRO .BONO .MEDIATION ....... ... .... ...... .... The Court, having determined that referral to mediation is appropriate in this case either on the Court’s own motion or on the motion of one of the parties, it is hereby THE PEOPLE OF THE STATE OF NEW YORK ORDERED that in accordance with Rule 31 of the Rules of the Tennessee Supreme TO Court that mediation will be conducted upon the following issue(s): ______________________ ________________________________________________________________; and it is further ORDERED that both parties shall participate in mediation. Attorneys may participate as GREETINGS: agreed by the parties and mediator; and it is further WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ORDERED that the mediator will fileat the a report pursuantCourt to sections 8 and 12(j) of Rule , the Honorable located at County of 31 with the Clerk of the __________ Court of _________ County, Tennessee; and it is further 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 thereached as a ORDERED that the attorneys will file an Order reflecting any agreement result of a successful mediation within _________ (___) hours of the mediation; and it is further ORDERED, the fees of the mediator will be waived and this case is referred to legal Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalfpro bono mediation. Pro for a maximum penalty of $50not exceed services to coordinate this subpoena was issued Bono mediation hours shall and all damages sustained as a result of your failure to comply. ___________ (_____) hours; and it further Witness, Honorable one of faith effort to ORDERED that the parties and their counsel shall proceed in, a goodthe Justices of the Court in County, day of , 20 resolve the issues in this case. The mediation shall be private and confidential. Everything said or done in the mediation is confidential and may not be used in any subsequent judicial proceedings, except as allowed by statute. Allegations of(Attorney must sign above andof futurebelow) child abuse or threats type name harm shall not be confidential. ENTERED this ______ day of ______________,Attorney(s) for 20___. __________________________________________ Chancery or Office and P.O.Judge Circuit Court Address * * * * * Telephone No.: Certificate of Service follows on next page * * * * * Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. : JUDICIAL SUBPOENA Plaintiff(s) CERTIFICATE OF SERVICE -against- : I hereby certify the foregoing has been delivered by U.S. Mail to the parties in this action or their attorney of record as follows: : __________________________________________ ________________________________________________ : __________________________________________ _________________________________________________ Defendant(s) : ...................................................... __________________________________________ _________________________________________________ This __________day of _____________________, 20_____. THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of 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 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 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.: American LegalNet, Inc. www.USCourtForms.com