Fortune Mediation

CONFIDENTIAL MEDIATION STATEMENT

Thank you for considering us for your mediation needs. 72 hours prior to your mediation, we will need you to complete and return the following information. Forms submitted online are protected via a secured link.

Attorney’s Name *

Attorney’s Email Address *

Law Firm Name and Address (Some will be from outside Jacksonville) *

Attorney’s Phone Number (Firm and Mobile Number) *

Party You Represent *

Plaintiff

Defendant

Is This Mediation Court Ordered? *

Yes

Name of Plaintiff *

Name of Defendant *

Name of Counsel for Plaintiff *

Name of Counsel for Defendent *

Copy of Judicial Complaint and Answer *

Name of Judge where case is filed *

Name of Court where case is filed *

Summary Judgment Deadline *

Copies of any Motion for Summary Judgment filed by either party *

Date of Final Pretrial *

Date of Trial *

Date and amount of last demand made by Plaintiff *

Date and amount of last demand made by Defendant *

Description of Each Party’s Case, specifying whether key facts are disputed or undisputed *

Each party’s assessment of the most significant admissions made by opposing party *

Each party’s assessment of the main obstacles to settlement *