PROBATE COURT PILOT MEDIATION PROGRAM COURT REPORT and EVALUATION
County: Type of Case: (Select One) Guardianship Creditor Claim Conservatorship Will Contest Trust Will Construction Date:
Appointment/Removal of Personal Representative Other (Please Specify) Date Matter Filed: Date Mediator Appointed: Date Mediation Report Received: For the following questions, please check the appropriate box. Strongly Agree This process was helpful. Mediation resulted in efficient use of the court's time. The cost for mediation was reasonable considering the results obtained. The outcome was acceptable. Comments: Agree No Opinion Disagree Strongly Disagree
Number of Participant Reports Attached Report Prepared by: Title:
FORM #316PC 08/2007 PROBATE MEDIATION PROGRAM