UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
Choose
CHOOSE division
DIVISION
Plaintiffs,
Case No.
v.
Defendants.
___________________________
Mediation Report
The parties held a mediation conference on _____________________, and the
results of that conference are indicated below.
1. Attendance
The following participants attended the mediation conference:
☐ lead counsel
☐ the parties or a party’s surrogate satisfactory to the mediator
☐ any necessary insurance carrier representative
List any unexcused absence or departure from the mediation conference:
2. Outcome
Under Local Rule 3.09(a), the parties must immediately file a notice after agreeing
to resolve all or part of a civil action, even if the resolution is contingent or
unwritten.
☐ The parties completely settled the case.
☐ The parties partially settled the case. The following issues remain:
☐ The parties agreed to continue the mediation conference. The mediator
will file another mediation report within seven days after the continued
conference.
☐ The parties have reached an impasse.
Add name of mediator
If counsel, add name of client
Add date of signature
2
