Free CCL0132 - Illinois

Mediator Report (Form 6) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, LAW DIVISION

(3/09/04) CCL 0132

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Plaintiff(s) v.

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Defendant(s)

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3488

No. ________________________________

_______________________________
Judge Judge's No.

MEDIATOR REPORT
(To be completed at the end of each mediation and filed with the Court, with a courtesy copy delivered to the CourtAnnexed Civil Mediation Supervisor, pursuant to Illinois Supreme Court Rule 99 as a mechanism for reporting to the Supreme Court on the mediation program.) Case Number: ____________________________ Mediator Name: _____________________________________ Case Type: Personal Injury Medical Malpractice Products Liability General Tort Commercial Construction Real Property Disputes Employment/Wrongful Termination Probate Chancery Other (list below)

______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
The undersigned mediator, selected by the attorney/s appointed by the Court pursuant to the Order entered on the________ day of ____________________________, _________ reports to the Court as follows: A. B. A settlement of this matter has been reached

has been reached in part

has not been reached

(If a settlement was reached) The party designated to prepare the settlement agreement and stipulation to dismiss is ______________________

_______________________________; to be submitted to the court by __________________________, ________
(Date)

C. D. E.

Date mediation began:______/______/______ Date ended:______/______/______ Number of sessions: _______ Hours in mediation:__________ Hours of preparation:__________ How many from each category attended?

_______ Lawyers _______ Clients _______

Non-Parties (please list, e.g., witnesses, spouse)

____________________

__________________________________________________________________________________

__________________________________________________ Dated: ____________________________, _________
Signature of Mediator

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS