Free Instructions - New Hampshire

Instructions for completing Mediation Report (NHJB-2180-P) Form use. This form is completed by the mediator at the conclusion of a mediation session. It is given to the court to show the outcome of the mediation. Top section of form
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COURT NAME: Enter the name of the county probate court where the document will be filed. (example: Belknap County Probate Court; Rockingham County Probate Court). CASE NAME: Enter the name of the case (example: Guardianship of John Adams; Guardianship of Susan Jones). CASE NUMBER: Leave blank if not yet assigned by court OR fill in case number if it is known.

Main part of form
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Name of mediation. Enter the mediator's name. Date of mediation. Enter the date the mediation was held. Results section. Check off only one box, which applies to the results of the mediation for the case.

Following the check boxes and on the lines provided, enter the issues that were resolved followed on the next set of lines by the parties who failed to appear. There is also a section to include other information that you think would be of interest to the court. Signature section Sign the form on the Mediator line, and date it in the appropriate space to the left. Review the completed form for accuracy prior to filing it with the court. If completing this form on-line, some fields may be filled in automatically based on entries in other fields. If more space is needed for any question, please attach additional sheets of paper.

NHJB-2180-P (10/01/06)

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