E99102BF-B146-146D-35DFAF9763C1170B.pdf
PDF 2 MB Posted
- Solicitation number
- RFP 2026-03-03
- Issued by
- Franklin County, Ohio
About this file
This is a Mediation Status Update form from the Franklin County Court of Common Pleas, Division of Domestic Relations and Juvenile Branch, located in Ohio. The form serves as a tracking document for mediation proceedings in family law and juvenile matters. It records attendance information for plaintiffs, defendants, guardians ad litem, and third parties, noting whether participants appeared or were absent from scheduled mediation sessions. The form captures the status and outcome of mediation processes, including whether sessions are ongoing with subsequent dates scheduled, whether cases are deemed unsuitable for mediation, or whether parties failed to participate in intake or appear for scheduled sessions.
The form documents specific mediation outcomes including instances of no agreement reached, partial agreements, or full agreements between parties. When full agreements are achieved, the form indicates whether parties have been advised to present memoranda of agreements to their next court date, seek counsel for preparation of agreed entries, or consult the self-help center for assistance. Additionally, the form notes when the Mediation Services department is actively assisting pro se parties in preparing agreed entries, including appointment dates for such assistance. The document includes space for mediator comments and signatures with date fields for preparation documentation. This form functions as an administrative record within Ohio's court system to track mediation case progression and resolution status.
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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: |
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