Designation Of Mediator {MSC4}

IC Form MSC4 - DESIGNATION OF MEDIATOR. This form by the North Carolina Industrial Commission is used to appoint a mediator for a workers' compensation case referred to mediation by court order. Either the plaintiff or defendant must complete this form within the time limits set by the commission and mediation rules. The form includes contact information for attorneys, invoicing details for mediation costs, and details of the selected mediator, including their certification and contact information. It also specifies the mediation date, and if the mediation is scheduled more than 120 days out, there is an option to request an extension. www.FormsWorkflow.com