Free CCCH 0132 12-22-06.pmd - Illinois

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

(12/22/06) CCCH 0132

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Plaintiff(s) v.

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Defendant(s)

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3488 No. ________________________________

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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 Chancery Division Court-Annexed Mediation Supervisor, pursuant to Illinois Supreme Court Rule 99 as a mechanism for reporting to the Supreme Court on the mediation program.) Mediator Name: ______________________________________ Case Type: Administrative Review Class Actions Commercial Litigation Condominium Disputes Construction Law Corporations/Partnerships Employment Agreements General Tort Insurance Coverage Mechanics Liens Medical Malpractice Mortgage Foreclosures Municipal/Public Sector Law Case Number: ___________________________

Employment (Wrongful Termination) Neighbor Disputes Personal Injury Products Liability Probate Real Property Disputes Other (list below)

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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. A settlement of this matter has been reached has been reached in part has not been reached

B. (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. Date mediation began:______/______/______ Date ended:______/______/______ D. Hours in mediation:__________ Hours of preparation:__________ E. How many from each category attended?

Number of sessions: _______

_______ Lawyers _______ Clients _______

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

____________________

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Signature of Mediator

Dated: ____________________________, _________

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