___ Additional session of mediation scheduled for (date) ____________________. Request continuance in ADR Program for additional thirty (30) days.

___ One or both parties have not been compliant with order to mediate. Case management conference should be scheduled.

___ One or both parties have not been compliant. Request additional 30 days in ADR Program to obtain compliance.

___ An agreement has been reached. Case management conference should be scheduled.

___ An agreement has not been reached and further efforts at mediation are not likely to be beneficial. Case management conference should be scheduled.

Signature: ________________________________ Date: ________________________