Free South Carolina District Court Mediation Initiation Form - South Carolina

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MEDIATION INITIATION FORM
Case:_____________________________________ C/A No.:__________________________________

Please check the applicable box to indicate the status of the above referenced case:

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OR

case settled prior to or without mediation case dismissed by court or pending ruling on summary judgment motion case to proceed to trial case continued to next term

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case will be or has been mediated (complete the following information):

Mediator Name: ___________________________Mediator Phone No.___________________

Date Mediation Scheduled to Occur or Date Mediation Completed:______________________

Submitted by:_______________________________ Signature:_________________________
(Printed name of counsel)

For which party?:______________________________________ Date:___________________
(Name of party counsel represents)

Please fax completed form to Danny Mullis, ADR Program Director @ 843-579-1434 or mail to P.O. Box 835, Charleston, SC 29402.