E99102BF-B146-146D-35DFAF9763C1170B.pdf
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- Attached to
- Process Server
- Solicitation number
- RFP# 2026-08-05
- 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 in Ohio. The document serves as a template for tracking the progress and outcomes of mediation sessions in family law and juvenile cases handled by the court's Mediation Services department. The form captures attendance records for plaintiffs, petitioners, defendants, respondents, guardians ad litem, and third parties, noting whether participants appeared or failed to appear (FTA) at scheduled mediation sessions. The document allows for tracking of multiple mediation sessions, including whether initial or subsequent sessions are scheduled, and requires documentation of the scheduled date for future mediation proceedings.
The form provides multiple outcome options for mediation processes, including designation of cases as unsuitable for mediation, documentation of parties' failure to participate in intake or scheduling, recording of no-shows, and various settlement outcomes ranging from no agreement to partial or full agreements. When full agreements are reached, the form indicates whether parties are directed to seek counsel or use the self-help center for preparation of agreed entries, or whether Mediation Services will assist with pro se agreed entry preparation. The document includes space for mediator comments, appointment dates, and signature lines for the mediator or Dispute Resolution Department representative and date of preparation. This is a standard court administrative form with no pricing, contract terms, funding sources, or procurement specifications.
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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 .