Fillable 9 This is an Interim Report. A final (US Courts)

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9 This is an Interim Report. A final (US Courts)

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UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NORTH CAROLINA
____________ DIVISION
Case No. __________________________
Name of Plaintiff(s):
_________________________________________
VERSUS
Name of Defendant(s):
_________________________________________
REPORT
OF
MEDIATOR
___________________________________________
9 This is an Interim Report. A final report is to be filed
after resumption of the mediation.
Mediator Name:
_________________________________________________
Telephone No.:
_________________________________________
1. Convening of Mediation. The mediated settlement conference ordered in this case:
9 was held on ________________________________(
date)
9 was NOT held because: __________________________________________________________.
2. Attendance. 9 No objection was made on the grounds that any required attendee was absent.
3. Outcome. The mediation resulted in:
9 complete settlement of the case
9 partial settlement of the case
9 recess (i.e., mediation to be resumed at later date)
9 impasse
9 other disposition. Specify: _________________________________________________________.
4. Settlement Filings. (a) The document (s) to be filed to effect the settlement are: ________________________
___________________________________________________________________________________________
(b) The person responsible for filing the documents is:________________________________________________
(c) The agreed deadline for filing the document(s) is: _________________________________________________
5. Submission of Report. Please submit the completed and signed report by mail to Clerk of Court, POB 25670,
Raleigh, NC 27611.
I have submitted this completed report within seven (7) days after conclusion of the conference.
Signature of Mediator:
__________________________________________________
Date:
_____________________________________________
FOR COURT USE
9 Consent Judgment
9 Voluntary Dismissal with Prejudice
9 Voluntary Dismissal without Prejudice
Date:
Filed By:
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9 This is an Interim Report. A final (US Courts)

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Completed 4 April 2022

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