The parties shall participate in mediation pursuant to local court rules.

The parties shall complete an Educational Program for Parents, as outlined in General Order 4.05, prior to mediation. (Currently, PACT is the sole approved program in the 17th Judicial Circuit; call 815-877-7228 for scheduling.)

Mediator Information: Name: _____

Address: ___

Phone: _____

Each party shall individually call the Mediator within two business days to schedule the required appointments.

The contact information for the parties:

Plaintiff

Defendant ___

(name, address, telephone and email)

Plaintiff □ has a waiver of fees in the amount of __%, or □ does not have a waiver of fees. Plaintiff is responsible for __% of Mediator fees. Defendant □ has a waiver of fees in the amount of __%, or □ does not have a waiver of fees. Defendant is responsible for __% of Mediator fees.

FEES: The division of fees is made pursuant to General Order 4.07(D). The percentages listed in Section 6 above, and the payment rate set below, may be overridden above based on the subsequent entry of a fee waiver for one or both parties.

One or neither party has full or partial fee waivers. The applicable hourly rate shall be set by the Mediator.

Both parties have either full or partial fee waivers. The hourly rate of the Mediator shall be set at $100.00 per hour.

Other: _______________________________________________________________________________________ _______________________________________________________________________________________________

Other: ___

This case is set for ___, on ___, 20 at __ am/pm.

Counsel or the Clerk shall provide a copy of the order to the Mediator.