Form For Notice Of Nomination Of Mediator
Download a blank fillable Form For Notice Of Nomination Of Mediator in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form For Notice Of Nomination Of Mediator with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2PRINT FORM
RESET FORM
USDC/MED-001 | LR 16.6.2 (2/13) Notice of Nomination of Mediator
U
S
D
C
NITED
TATES
ISTRICT
OURT
SOUTHERN DISTRICT OF WEST VIRGINIA
AT ________________
SELECT ONE:
v.
N
N
M
OTICE OF
OMINATION OF
EDIATOR
C
A
IVIL
CTION
Pursuant to the Local Rules of Civil Procedure and this Court’s Scheduling Order, the parties
nominate_______________________________________________________as the mediator for the
parties. The parties have agreed on the amount of the mediator’s fee and the responsibility for payment of
that fee. The mediator’s mailing address, telephone number, facsimile number, and e-mail address are:
Respectfully submitted,
Name of Plaintiff(s) or Plaintiff(s) Pro Se
Name of Defendant(s) or Defendant(s) Pro Se
Counsel for Plaintiff(s) or Plaintiff(s) Pro Se
Counsel for Defendant(s) or Defendant(s) Pro Se
Counsel for Plaintiff(s) or Plaintiff(s) Pro Se Address
Counsel for Defendant(s) or Defendant(s) Pro Se Address
Date
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal