IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF WEST VIRGINIA STYLE OF CASE: ________________________________________________ CIVIL ACTION NO: ______________________ REPORT OF MEDIATOR A Settlement Conference was held in the above styled case on ___________________ (Date) in ________________________, West Virginia. As a result of this conference: (Location) 1. _____ This case was settled. 2. _____ Additional mediation will take place in this Case during the next two weeks, after which this form will be updated and resubmitted. 3. _____ This case was not settled and it is my opinion that: (a) _____ The next step should be a Court-conducted status conference. (b) _____ The next step should be a Court-conducted settlement conference. (c) _____ This case should proceed in normal course. 4. _____ Counsel for the parties and the parties have authorized the mediator to supplement this mediation report by stating the following (use additional page or pages, if necessary): _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ MEDIATOR: _____________________________________ DATE: __________________________ ** Please mail this form to the appropriate Clerk's office. (1) Clarksburg Clerk's Office U.S. District Court PO Box 2857 Clarksburg, WV 26302 (2) Elkins Clerk's Office U.S. District Court PO Box 1518 Elkins, WV 26241 (3) Martinsburg Clerk's Office U.S. District Court 217 W. King St., Rm 102 Martinsburg, WV 25401 (5) Wheeling Clerk's Office U.S. District Court PO Box 471 Wheeling, WV 26003 American LegalNet, Inc. www.FormsWorkFlow.com