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Click ‘Get Form’ to open it in the editor.
In the first section, enter the name of the mediator and their hourly rate. Ensure that all participants understand their responsibility for half of the fees unless otherwise agreed.
Review the mediation rules outlined in the form. Familiarize yourself with Rule 8 regarding Optional Early Mediation to ensure compliance.
Each participant must acknowledge the neutrality of the mediator by signing where indicated. This confirms understanding of confidentiality and immunity provisions.
If a settlement is reached, ensure all terms are documented and signed by all parties involved for enforceability.
Finally, sign and date the form at the bottom, ensuring that all necessary signatures from participants and attorneys are included.
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