E99102BF-B146-146D-35DFAF9763C1170B.pdf
PDF 2 MB Posted
- Attached to
- Site Security Cameras, LiDAR & Management System
- Solicitation number
- 2025-62-21
- Issued by
- Franklin County, Ohio
About this file
This is a Mediation Status Update form from the Franklin County Court of Common Pleas, Domestic Relations and Juvenile Branch in Ohio. The document serves as a template for recording the status and outcomes of mediation sessions in domestic relations and juvenile cases handled by the court's Mediation Services department. The form captures attendance information for plaintiffs, defendants, guardians ad litem, and third parties, noting whether each participant appeared or had a failure to appear (FTA). The document provides checkboxes to indicate mediation process status, including whether sessions are ongoing with scheduled dates, whether the case is unsuitable for mediation, or whether the mediation process has been terminated due to various reasons such as participant non-compliance or failure to appear.
The form documents mediation outcomes across a spectrum of resolution levels, ranging from no agreement reached to partial or full agreement in mediation. When full agreement is achieved, the form indicates whether parties are directed to take their memorandum of agreement to the next court date, seek counsel to prepare an Agreed Entry, or contact the self-help center for assistance. Additionally, the form notes when Mediation Services provides direct assistance in preparing pro se Agreed Entries and includes fields for appointment dates and mediator comments. This is a blank template form (eJU6253/DR6253 02-2025) with no active case information filled in, designed for ongoing use by the Franklin County Mediation Services and Dispute Resolution Department.
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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 .