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Chapter 18

Form 18-19

Include the following notice if a minor is named in the style of the case or if the report contains other unredacted sensitive data. See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents.

NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA

Report to Court of Mediation Results

[Date]

[Name and address of judge]

Re:    Report of Mediator, [style and cause number of case]

[Salutation]

You referred this case to me for mediation. The parties appeared on [date] in my office and commenced mediation.

Select as applicable.

I am pleased to report that the lawsuit was resolved as a result of mediation. The parties will submit the appropriate settlement documents to the Court in the near future.

Or

The parties were unable to reach a settlement. I have declared an impasse.

And/Or

The parties have requested that the case [should/should not] be removed from the docket.

Continue with the following.

Thank you for the opportunity to be of service.

Sincerely yours,

   
[Name]
Mediator

c: Counsel of record