RMM Program Mediator Report {Form I-1}

FORM "I-1" Revised May 31, 2016 IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT IN AND FOR ______________ COUNTY, FLORIDA Case Number: ________________ ________________________ vs. ________________________ Pursuant to the Court's Order, a Mediation Conference was conducted by Florida Supreme Court Certified Circuit Court Mediator _______________________ on ____ (day), ___________ (date). RMM PROGRAM MEDIATOR REPORT The following were physically present at the Mediation Conference (please print clearly or type): ___________________________________ Plaintiff's Representative ___________________________________ Defendant ___________________________________ Plaintiff's Attorney ____________________________________ Defendant's Attorney Others physically present:_________________________________________________________ Plaintiff's Representative present by electronic equipment:_______________________________ The result of the Mediation Conference is as follows (Mediator selects only one): _____ The parties reached an agreement. [ ] PARTIAL [ ] FULL The agreement was [ ] reduced to writing and signed by the parties [ ] transcribed _____There was no agreement. _____The mediation was ADJOURNED to ________________________ (Day, Date and Time). Mediator Signature: __________________________________ Certificate of Service I HEREBY CERTIFY that a true and correct copy of the foregoing has been provided by electronic means, in person and/or U.S. Mail to: and to the American Arbitration Association, Program Manager, on___________. Office Manager Initial: ______ _______________________________ My Florida Mediator American LegalNet, Inc. www.FormsWorkFlow.com