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MEDIATION CALENDAR

April 2024

M	T	W	T	F	S	S
1	2	3	4	5	6	7
8	9	10	11	12	13	14
15	16	17	18	19	20	21
22	23	24	25	26	27	28
29	30

May 2024

M	T	W	T	F	S	S
		1	2	3	4	5
6	7	8	9	10	11	12
13	14	15	16	17	18	19
20	21	22	23	24	25	26
27	28	29	30	31

Available All Day

Afternoon Availability

Morning Availability

Booked

Not Available

MEDIATION DATE REQUEST & CASE INFORMATION

Date Preferred *

Other Possible Dates

 

 

Session Requested *

Full DayHalf DaySix Hour

If half-day requested -- any preference?

Morning

Afternoon

Has the date been confirmed by all parties? *

Yes

No

How would you prefer this mediation be conducted? *

Via Zoom video conferencing

In person at the mediator's office

Complete Style of Case or Case Name

Cause No. (if any)

Court (if any)

Brief Description of Matter

CONTACT INFORMATION

Name of Party *

Type

Petitioner

Respondent

Intervenor

Plaintiff

Defendant

Not Applicable

Attorney's Name (if represented)

Attorney's Email (if represented)

Party's Email (if no attorney)

Mailing Address of Attorney or Unrepresented Party

Telephone Number of Attorney or Unrepresented Party *

Name of Party *

Type

Petitioner

Respondent

Intervenor

Plaintiff

Defendant

Not Applicable

Attorney's Name (if represented)

Attorney's Email (if represented)

Party's Email (if no attorney)

Mailing Address of Attorney or Unrepresented Party

Telephone Number of Attorney or Unrepresented Party *

Name of Party

Type

Petitioner

Respondent

Intervenor

Plaintiff

Defendant

Not Applicable

Attorney's Name (if represented)

Attorney's Email (if represented)

Party's Email (if no attorney)

Mailing Address of Attorney or Unrepresented Party

Telephone Number of Attorney or Unrepresented Party

STATUS OF CASE

In Litigation? *

Yes

No

Key Date

Payment of Fees *

50/50 Split

Other

Comments

3 + 1 = *

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