Stipulation to Mediate
| ______________________________________ Plaintiff(s) vs. ______________________________________ Defendants(s) |
_______________ Case No. |
IT IS HEREBY STIPULATED by and between the undersigned parties, and their respective attorneys of record, that the above-captioned matter is hereby submitted mediation before ________________________, (Judge, Retired/Attorney at Law), hereinafter referred to as the "Mediator".
The Mediator shall conduct the proceedings in a manner designed to facilitate communication between the parties to assist them in reaching a mutually acceptable agreement.
In the event the Mediator initially chosen is unable to commence or complete the proceedings, then a replacement mediator shall be chosen from the panel offered by ADR Services, Inc. If the parties cannot agree upon a replacement mediator, ADR Services, Inc. is hereby empowered to choose the replacement mediator.
The Parties
| Dated: _______________ Dated: _______________ Dated: _______________ Dated: _______________ |
______________________________ (print name) ______________________________ (print name) ______________________________ (print name) ______________________________ (print name) |
Attorneys for the Parties
| Dated: _______________ Dated: _______________ Dated: _______________ Dated: _______________ |
______________________________ (print name) ______________________________ (print name) ______________________________ (print name) ______________________________ (print name) |
This page was last modified in May 2007
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