Computation Of Attorney Fees Form Page 57
ADVERTISEMENT
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
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60Adopted: 1/29/07
Revised: 8/1/14
MEDIATION INTAKE FORM
IN THE PROBATE COURT OF MONTGOMERY COUNTY, OHIO
PLANTIFF,
:
CASE NO:
Plaintiff,
:
(McCOLLUM, J.)
v.
:
MEDIATOR: __________________
DEFENDANT,
:
MEDIATION INTAKE FORM
Defendant.
:
:
Upon referral to or request for mediation, each party must complete this form. Please respond to each
question. Thank you for your cooperation.
Date:
__________________, 20_____
Person completing form is (check one):
_____ Claimant
_____ Respondent
This matter is being referred for mediation upon request of (check all that apply):
_____ Claimant’s Attorney
_____ Claimant
_____ Respondent’s Attorney
_____ Respondent
_____ Magistrate
_____ Judge
CLAIMANT
Name:
______________________________________________________
Address:
______________________________________________________
Telephone:
______________________________________________________
RESPONDENT
Name:
______________________________________________________
Address:
______________________________________________________
Telephone:
______________________________________________________
If children are at issue in this matter please give the full name, date of birth, and address of each.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal