E99102BF-B146-146D-35DFAF9763C1170B.pdf

PDF 2 MB Posted

Attached to
Audio Visual System for Conference Room
Solicitation number
RFP 2026-10-09
Issued by
Franklin County, Ohio

About this file

This is a Mediation Status Update form from the Court of Common Pleas, Franklin County Division of Domestic Relations and Juvenile Branch in Ohio. The form serves as a documentation template for tracking the status and outcomes of mediation sessions in domestic relations and juvenile cases within Franklin County's judicial system. The document is designed to record attendance information for plaintiffs, defendants, guardians ad litem, and third parties, noting whether participants appeared or failed to appear (FTA) at scheduled mediation sessions. The form captures mediation process details, including whether initial or subsequent sessions are scheduled, and documents various mediation outcomes such as case unsuitability for mediation, failure to participate in intake procedures, no-shows, or the achievement of partial or full agreements among parties.

The form includes provisions for mediators and the Dispute Resolution Department to indicate the mediation outcome status and schedule appointment dates for follow-up actions. When full agreements are reached, the form notes whether parties have been advised to present their memorandum of agreement at the next court date, seek legal counsel to prepare an Agreed Entry, or consult the self-help center for assistance. Additionally, the form indicates whether the Mediation Services department will provide pro se assistance in preparing Agreed Entries. A section for mediator comments allows for additional context or relevant information regarding each case's mediation process.

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Text version

IN THE COURT OF COMMON PLEAS, FRANKLIN COUNTY, OHIO

FRANKLIN COUNTY DIVISION OF DOMESTIC RELATIONS AND JUVENILE BRANCH

MEDIATION STATUS UPDATE

Case #:

Plaintiff / Petitioner / In the Matter of:

Defendant(s) / Respondent(s):

GAL / 3rd Parties:

Mediation Session(s)

Plaintiff Appeared ___________________________________ FTA ________________

Defendant 1 Appeared ___________________________________ FTA ________________

Defendant 2 Appeared ___________________________________ FTA ________________

GAL / 3rd Party 1 Appeared ___________________________________ FTA ________________

3rd Party 2 Appeared ___________________________________ FTA ________________

MEDIATION OUTCOME

Mediation process ongoing:

☐ Initial / ☐ Subsequent mediation session scheduled for ________________________________________

Mediation process terminated:

☐ Case not suitable for mediation.

☐ __________________ failed to participate in mediation intake and/or failed to schedule mediation session.

☐ One or more parties/necessary participants failed to appear for scheduled mediation session (see above).

☐ No agreement in mediation.

☐ Partial agreement in mediation.

☐ Full Agreement in mediation.

The parties have been advised to take the memorandum of agreement to their next court date, seek counsel to prepare the Agreed Entry, or inquire with the self-help center for assistance.

☐ Full Agreement in mediation.

Mediation Services is assisting with pro se Agreed Entry. Appointment Date: _________________________

☐ Other/Comments: _______________________________________________________________

Date Prepared Mediator/Dispute Resolution Department

(eJU6253/DR6253 02-2025)

Attachment D

Case:
Plaintiff Petitioner In the Matter of:
Defendants Respondents:
GAL 3rd Parties:
fill_2:
fill_4:
fill_6:
fill_8:
fill_10:
Initial: Off
Subsequent mediation session scheduled for: Off
Case not suitable for mediation: Off
One or more partiesnecessary participants failed to appear for scheduled mediation session see above: Off
No agreement in mediation: Off
Partial agreement in mediation: Off
Full Agreement in mediation: Off
Full Agreement in mediation_2: Off
OtherComments: Off
failed to participate in mediation intake andor failed to schedule mediation session:
undefined_2:
undefined_3:
MediatorDispute Resolution Department:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
clear:
print:
save as:
Date12_af_date:
Date13_af_date:
Date14_af_date:
Date15_af_date:
Date16_af_date:
Date17_af_date:
Date18_af_date:
Date19_af_date:

File details come from the government source that posted it. Updated .