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ATTORNEY-MEDIATOR Phone - 972-416-3652 Facsimile - 972-416-0220 CONFIDENTIAL INFORMATION FORM NATURE OF CASE ____________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ APPROXIMATE AMOUNTS(S) IN CONTROVERSY: $______________________ IS DISCOVERY ESSENTIALLY COMPLETE: _________ YES ________ NO STATUS OF SETTLEMENT OFFERS: ______________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ NAMES OF ALL PARTIES WHOM YOU EXPECT WILL BE PRESENT AT THE MEDIATON SESSION FOR YOUR SIDE. PLEASE REMEMBER IF FOR ANY REASON THE APPROPRIATE PARTIES ARE NOT PRESENT, OR PRESENT BUT WITHOUT THE REQUISITE LEVEL OF AUTHORITY, THE TERMS OF THE COURT’S ORDER WILL NOT BE MET: _____________________________________________________ (ATTORNEYS) _____________________________________________________ (CLIENTS) _____________________________________________________ (INSURANCE REP) DATE OF NEXT COURT SETTING :________________________________________ WHAT IS SETTING FOR: _________________________________________________ DATE: _____________________ PLEASE COMPLETE AND RETURN THIS FORM AS SOON AS POSSIBLE (AND NO LATER THAN 2 DAYS PRIOR TO THE MEDIATION) TO LINDA BYARS SWINDLING VIA FAX (972) 416-0220 |