Free Notice of Nomination of Mediator (LR Civ P 16.6.2) - West Virginia


File Size: 415.6 kB
Pages: 2
Date: June 22, 2005
File Format: PDF
State: West Virginia
Category: Court Forms - Federal
Author: ras
Word Count: 214 Words, 1,985 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.wvsd.uscourts.gov/pdfs/notice_of_nomination_of_mediator.pdf

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USDC/MED-001 | LR 16.6.2 (6/05) Notice of Nomination of Mediator

UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF WEST VIRGINIA AT SELECT ONE:

NOTICE v.

OF NOMINATION OF MEDIATOR

CIVIL ACTION
Pursuant to the Local Rules of Civil Procedure and this Court's Scheduling Order, the parties nominate _______________________________________________________ as the mediator for the parties. The parties have agreed on the amount of the mediator's fee and the responsibility for payment of that fee. The mediator's mailing address, telephone number, facsimile number, and e-mail address are:

Respectfully submitted,

___________________________________
Name of Plaintiff(s) or Plaintiff(s) Pro Se __________________________________________ Counsel for Plaintiff(s) or Plaintiff(s) Pro Se

___________________________________
Name of Defendant(s) or Defendant(s) Pro Se __________________________________________ Counsel for Defendant(s) or Defendant(s) Pro Se

___________________________________
Date

___________________________________
Date

USDC/MED-001 | LR ??? (6/05) Notice of Nomination of Mediator

ADDITIONAL PARTIES AND COUNSEL:

___________________________________
Name of Plaintiff(s) or Plaintiff(s) Pro Se

____________________________________
Name of Defendant(s) or Defendant (s) Pro Se

___________________________________
Counsel for Plaintiff(s) or Plaintiff(s) Pro Se

___________________________________
Counsel for Defendant(s) or Defendant (s) Pro S

__________________________________
Date

__________________________________
Date

___________________________________
Name of Plaintiff(s) or Plaintiff(s) Pro Se

____________________________________
Name of Defendant(s) or Defendant (s) Pro Se

___________________________________
Counsel for Plaintiff(s) or Plaintiff(s) Pro Se

___________________________________
Counsel for Defendant(s) or Defendant (s) Pro Se

___________________________________
Date

___________________________________
Date