E99102BF-B146-146D-35DFAF9763C1170B.pdf

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