E99102BF-B146-146D-35DFAF9763C1170B.pdf
PDF 2 MB Posted
- Attached to
- Franklin County EOC Technology Upgrade
- Solicitation number
- RFP 2026-62-10
- Issued by
- Franklin County, Ohio
About this file
This is a Mediation Status Update form from the Franklin County Division of Domestic Relations and Juvenile Branch in the Court of Common Pleas, Franklin County, Ohio. The form is designed to document the status and outcomes of mediation sessions in domestic relations and juvenile cases. The document provides fields for recording case information, including plaintiff/petitioner and defendant/respondent names, as well as GAL (Guardian Ad Litem) and third-party participants. It tracks attendance and failure-to-appear (FTA) status for all parties involved in mediation proceedings.
The form captures mediation outcomes through multiple tracking options, including whether mediation is ongoing with a scheduled subsequent session, whether the case is unsuitable for mediation, whether parties failed to participate or appear, and the nature of any agreements reached (no agreement, partial agreement, or full agreement). When full agreement is reached, parties are advised either to take their memorandum of agreement to their next court date, seek counsel to prepare an Agreed Entry, or contact the self-help center for assistance. Alternatively, if full agreement is achieved, the Mediation Services department may assist with preparing a pro se Agreed Entry, with an appointment date documented on the form. The document includes sections for mediator comments and signature lines for the mediator or Dispute Resolution Department representative and preparation date.
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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 .