E99102BF-B146-146D-35DFAF9763C1170B.pdf

PDF 2 MB Posted

Attached to
Voluntary Programs: Short and Long Term Disability, Legal Plan, Identity Theft, and Pet Insurance
Solicitation number
RFP #2025-06-09
Issued by
Franklin County, Ohio

About this file

This document is a Mediation Status Update form from the Court of Common Pleas, Franklin County Division of Domestic Relations and Juvenile Branch in Ohio. The form serves as a tracking and reporting tool for mediation proceedings in family law and juvenile cases within Franklin County's judicial system. The document is designed to record the attendance and participation status of plaintiffs, petitioners, defendants, respondents, guardians ad litem, and third parties in mediation sessions. It captures whether parties appeared, failed to appear (FTA), or participated in the mediation process, and documents the scheduling of initial and subsequent mediation sessions as required by the court.

The form tracks mediation outcomes across multiple categories, including whether the mediation process remains ongoing, has been terminated due to unsuitability for mediation, or has concluded with no agreement, partial agreement, or full agreement between parties. When full agreement is reached, the form notes whether parties have been advised to proceed independently with memoranda of agreement and agreed entries, or whether Mediation Services is providing assistance with pro se agreed entry preparation. The document includes fields for mediator/dispute resolution department documentation, appointment dates, and additional comments relevant to case outcomes. This is a standard administrative form used by the court system to maintain records of mediation activity and resolution status in domestic relations and juvenile matters.

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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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