Approved,  SCAO

STATE OF MICHIGAN

Original - Court
1st copy - Plaintiff

2nd copy - Defendant
3rd copy - Mediator

CASE NO.

JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE

ORDER FOR MEDIATION

CIVIL

DOMESTIC RELATIONS

Court  address

Court  telephone  no.

Plaintiff  name(s),  address(es),  and  telephone  no(s).

Defendant  name(s),  address(es),  and  telephone  no(s).

v

Plaintiff's attorney, bar no., address, and telephone no.

Defendant's attorney, bar no., address, and telephone no.

Probate

In the matter of

IT IS ORDERED:
1. This case is ordered to mediation under
a. by agreement of the parties.
The parties have selected
clerk of their mediator by                             . If the parties do not advise the ADR clerk of the mediator agreed upon by

               to be their mediator. The parties shall advise the ADR

MCR 2.410(C)

MCR 3.216(C)

Date

this date, the ADR clerk shall assign one as provided by the court's alternative dispute resolution plan.

b. on motion of

                            . The parties shall advise the ADR clerk of their mediator by                        .

Date

If the parties do not advise the ADR clerk of the mediator agreed upon by that date, the  ADR clerk shall assign one as
provided by the court's alternative dispute resolution plan.

c. on the court's own motion. The parties shall advise the ADR clerk of their mediator by

               . If the parties

Date

do not advise the ADR clerk of the mediator agreed upon by that date, the ADR clerk shall assign one as provided by
the court's alternative dispute resolution plan.

2. Mediation must be completed within          30        60         90

               days of the date this order is entered. The mediator

shall promptly confer with the parties to ensure completion of the mediation within the required time.

3. The costs of mediation shall be divided by the parties on a pro-rata basis unless otherwise agreed by the parties or ordered by

the court or, for persons unable to pay for mediation, as provided by the court's alternative dispute resolution plan.

4. Unless otherwise ordered by the court,

a. the attorneys who intend to try the case shall attend the mediation.
b. parties to the action and others having information and authority adequate for responsible and effective participation in

mediation, including settlement authority, shall attend the mediation.
     The parties must provide to the mediator, as soon as possible, the names of these individuals.
     The court directs that the following persons attend the mediation:

in person.           by telephone.
in person.           by telephone.
in person.           by telephone.

Date

Judge

Bar no.

NOTICE:  A party may move to set aside or modify an order for mediation within 14 days after entry of the order.

CERTIFICATE OF MAILING    I certify that on this date I served a copy of this order on the parties or their attorneys by first-class
mail addressed to their last-known addresses as defined by MCR 2.107(C)(3).

Date
MC 274   (3/10)   ORDER FOR MEDIATION

Signature

MCR 2.410(C), MCR 3.216(C)