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HANDOUT MATERIALS
*ORGANIZATION IDENTIFIER*
MEDIATION CHECKLIST
1. Select Mediator:
2. Confidential Pre-Mediation Papers for Mediator:
3. Pre-Mediation Client Caucus:
4. Order Referring to Mediation:
5. Lawyer's Role
6. Lawyer's Opening Statement
7. Initial Caucus
SETTLEMENT MEMORANDUM
On the _____ day of _______________, ________ A.D., the parties and their attorneys met for a mediation session.
After and outside of the close of the mediation session, and without regard to the processes thereof, the parties and their attorneys reached a full and final settlement of their dispute. This writing memorializes that settlement and is intended as a binding writing within T.R.C.P. Rule 11.
The dispute settled is:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
The terms and conditions of the settlement are:
1.___________________________________________________________
2.___________________________________________________________
3.___________________________________________________________
4.___________________________________________________________
5.___________________________________________________________
6.___________________________________________________________
7.___________________________________________________________
8.___________________________________________________________
9.___________________________________________________________
The parties and their attorneys have read this agreement and understand that it is a binding contract that completely and finally resolves this dispute. The parties and their attorneys agree to be bound to this agreement and to seek to fulfill the intent of this agreement.
Approved as to form
and substance by both
the parties and
their counsel:
______________________________ __________________
Signature date
______________________________ __________________
Signature date
______________________________ __________________
Signature date
______________________________ __________________
Signature date
______________________________ __________________
Signature date
______________________________ __________________
Signature date
_____________________________ __________________
Signature date
______________________________ __________________
Signature date
MEDIATION NOTESHEET
PARTIES ATTORNEYS
| Special Factors
________________________ _______________________ | ________________
________________________ _______________________ | ________________
________________________ _______________________ | ________________
________________________ _______________________ | ________________
________________________ _______________________ | ________________
PRE-SESSION NEGOTIATION HISTORY
DEMAND/DATE RESPONSE/DATE | Mediation Notes
________________________ _______________________ |
________________________ _______________________ |
________________________ _______________________ |
________________________ _______________________ |
________________________ _______________________ |
PLEADING STATUS
PETITION FILED?____ |________________
|
ANSWER FILED?____ |________________
DISCOVERY?____ |
HOW MUCH? ________________________________________ |
_____________________________________________________|
OTHER MATTERS? ___________________________________ |
_____________________________________________________ |
LITIGATION COST TO DATE? $______________ |________________
FUTURE LITIGATION COST? $_______________ |________________
ISSUES
FACTS /LAW
________________________ _______________________ |
________________________ _______________________ |
________________________ _______________________ |________________
________________________ _______________________ |
________________________ _______________________ |________________
PERCENTAGE CHANCE OF A FAVORABLE VERDICT _____% |
AMOUNT OF FAVORABLE VERDICT $____________ |________________
PERCENTAGE CHANCE OF A NEGATIVE VERDICT _____% |
AMOUNT OF NEGATIVE VERDICT $____________ | |________________
NEW MATTERS/WEAKNESSES TO EVALUATE:
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