Mediation Forms

Agreed Order of Referral to Mediation Form

Parties are encouraged to use and file our "Agreed Order of Referral to Mediation" form in Microsoft Word format for you to edit. It includes the language of our rule that if on the day of mediation Party X has not paid for mediation, Party Y will be responsible at that time for Party X's cost of mediation and Party X on final orders will be responsible to fully reimburse Party Y for the cost of both Party X and Y's mediation fee, plus Party Y's reasonable attorneys fees. Use of this form for the judge's signature will greatly increase the likelihood that your (a) mediation will occur as scheduled, especially with pro se parties; and (b) your client will recover the full cost of mediation before final orders if the other party fails to appear and pay at the time of mediation.

Sample Mediated Settlement Agreement

Below is a sample of Mediator Tom King's "Mediated Settlement Agreement" form. Please review this prior to mediation and use this form if you are completing the required pleadings for a "Drive-By MSA" session with us.

Sample Mediated Settlement Exhibit

Below is a sample of Mediator Tom King's "Mediated Settlement Exhibit" form. Please review this prior to mediation and use this form if you are completing the required pleadings for a "Drive-By MSA" session with us.