Order Referring Parties To Family Mediation Form - The Thirteenth Judicial Circuit Court For Hillsborough County, Florida Page 2

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MOREOVER,
1. The parties shall have ten (10) days from the date of this order to select a mediator and schedule a date and time for
a mediation conference. A list of mediators certified for family mediation may be obtained by contacting Mediation &
Diversion Services.
Petitioner’s counsel is appointed lead counsel for purposes of notifying Mediation & Diversion services of the mediator
selected and the proposed date and time of mediation. If Family Diversion is selected to mediate, petitioner’s counsel
shall contact the Program office to schedule the appointment. Both parties must agree to mediate prior to scheduling.
Mediation & Diversion Services shall prepare and send a Notice Of Mediation Conference. If necessary, staff shall
reserve a conference room.
2. (a) If Mediation and Diversion Services is not notified within ten (10) days of the date of this order the case will be
closed and the outcome form will be filed the court file indicating the parties did not contact the Program office.
(b) If it becomes necessary to reschedule a mediation conference, such rescheduling shall be initiated by the party’s
counsel requesting the rescheduling with opposing counsel and the mediator. The Program must be notified by counsel
initiating the rescheduling of the new date and time so that notices may be prepared.
3. Petitioner, or his counsel of record, must notify Mediation & Diversion Services, in writing, of any settlement or
dismissal of this action, other than a settlement arrived at during a court-ordered mediation conference, whether the
settlement or dismissal occurs before or after the mediation proceedings.
4. When Family Diversion is selected, each party shall be assessed a fee based upon the total gross annual income of
the parties. The parties will furnish proof of income at the time of the mediation conference in the form of a pay check
stub, the previous year’s income tax return, W-2, or family law financial affidavit. If the total gross income for the
parties together is $50,000 or less, each party shall pay a mediation fee of $60.00. If the total gross income for the
parties exceeds $50,000, each party shall pay a mediation fee of $120.00. If a party does not furnish proof of income, a
fee of $120.00 will be charged to each party. If payment is not made at the time of the mediation, the mediation will
not take place. IF A PARTY FAILS TO APPEAR AT A SCHEDULED MEDIATION, OR FAILS TO MAKE
PAYMENT AT THE TIME OF THE MEDIATION, OR FAILS TO GIVE AT LEAST 24 HOURS PRIOR
WRITTEN NOTICE (NOT COUNTING WEEKENDS OR COURT HOLIDAYS) TO FAMILY DIVERSION OF
CANCELLATION OF A MEDIATION SESSION, THE PARTY WILL BE BILLED FOR THE CANCELLED
MEDIATION. When a private state certified mediator is selected each party shall pay an equal share of the cost of the
mediation conference, unless determined otherwise by the court. If the mediation conference lasts one hour or less,
there shall be a one-hour minimum charge assessed pro rata among the parties. Each party shall remit payment in full
to the private mediator at the end of each conference.
Checks should be made payable to The Clerk of the Circuit Court.
Mediation & Diversion Services
800 E Twiggs Street, Room 208
Tampa, FL 33602
Phone 813-272-5642 Fax 813-301-3705
Upon motion or request of a party, a court shall not refer any case to mediation if it finds there has been a
history of domestic violence that would compromise the mediation process. In such circumstances, contact the
Mediation & Diversion Services office at the above address.
If you are a person with a disability who needs any accommodation in order to participate in this proceeding,
you are entitled, at no cost to you, to the provision of certain assistance. Please contact Mediation & Diversion
Services at the address shown above. If you are hearing or voice impaired, call 1-800-955-8770.

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