Office of Dispute
Resolution
SEVENTH
JUDICIAL ADMINISTRATIVE DISTRICT
P.O.
www.7jad.com FAX: (770) 387-5479
Mediation
Rescheduling Form
STEP ONE
Civil
Action #: County:
Style
of Case: vs
STEP TWO
Originally Scheduled Mediation
Session
Name
of Mediator: Location
of Mediation:
Date
of Mediation: Time
of Mediation:
STEP THREE
Rescheduled Mediation Session
Name
of Mediator: Location
of Mediation:
Date
of Mediation: Time
of Mediation:
STEP FOUR
No unilateral scheduling is
permitted. By signing below, I am stating that the choice of mediator, date, time,
and location listed above is the result of a mutual decision made between
Plainiff(s). Defendant(s), and Mediator.
Print Name: (Last, First MI) Attorney
Office
Signature
Required / Date Phone
Please
give a brief description of any special circumstances.
It
is essential that copies of all documents bearing on issues to be resolved be
brought to the mediation session (financial, medical, business, etc.)
If you are choosing a new mediator,
you are responsible for canceling with original mediator within forty-eight
(48) hours of scheduled mediation session.