Mediation Consent And Confidentiality Form {PRB-PCN-003}

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO CONSERVATORSHIP /GUARDIANSHIP OF PERSON ESTATE Case No. MEDIATION CONSENT AND CONFIDENTIALITY FORM We have agreed to try to resolve our problem through mediation. The mediation will be conducted by a mediator from the San Francisco Superior Court Probate Mediation Panel. I understand that: 1. The Mediator is serving only as a neutral person and does not represent either party in an attorney/client relationship, nor can he or she give legal advice to any party. 2. Each Participant has the right to be assisted by his or her legal counsel if desired. The attorney for the (proposed) conservatee or (proposed) ward will be present at the mediation and can participate. American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT 3. Participation is completely voluntary. No party gives up any rights to due process under the law if we do not agree to a settlement. The decision to settle a case can only be made by a mutual agreement between the parties. Either party is free to leave the mediation at any time and proceed to trial. 4. Communications between Participants and the Mediator are confidential pursuant to California Evidence Code 1115-1128, except that Mediators shall report to the Probate Court any information concerning child abuse or elder abuse, as well as information concerning the commission of a crime of violence. 5. Any mediation agreement resulting from the mediation will be presented to the Probate Court for approval. 6. Participants agree that the Mediator will not be called as a witness by any of them to testify in Court (pretrial, trial or post-trial) or any other proceeding whether or not the mediation results in an agreement. Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT Signature: Date: Signature: Date: Signature: Date: Signature: Date: American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO CONSERVATORSHIP OF PERSON ESTATE Case No. MEDIATION AGREEMENT This Mediation Agreement is admissible pursuant to Evidence Code Section 1123 and subject to Probate Court approval. We agree that: American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT Signature: Date: American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: DATE: Mediator American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 MEDIATION AGREEMENT SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO CONSERVATORSHIP OF PERSON ESTATE Case No. ORDER APPROVING MEDIATION AGREEMENT The Court hereby approves the Mediation Agreement of , 20. DATED: Judge of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 SUPERIOR COURT OF CLAIFORNIA CITY AND COUNTY OF SAN FRANCISCO Conservatorship/ Guardianship of : ) ) ) ) ) ) ) ) ) ) Case No.: MINUTE ORDER REFERRING CASE TO PRO BONO MEDIATION The parties and their attorneys are hereby ordered to Pro Bono Mediation. The parties are directed to schedule a mediation session with a mediator agreeable to the parties from the attached list. Mediation must be completed not later than . Status Conference is hereby set for in Department 204 at . Dated: Judge of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com