Fill and Sign the Initial Status Report of Mediator Form

Case Name: County: Docket Number: Mediator Name: Mediator Telephone Number: Mediator Fax Number: To: Civil CDR Point Person (please check appropriate fax number) † Atlantic (609) 343-2326 † Middlesex (732) 981-2499 † Bergen (201) 371-1113 † Monmouth (732) 677-4369 † Burlington (609) 518-2826 † Morris (973) 656-4104 † Camden (856) 379-2253 † Ocean (732) 506-5398 † Cape May (609) 463-6465 † Passaic (973) 247-8185 † Cumberland (856) 453-4349 † Salem (856) 935-6551 † Essex (973) 648-7789 † Somerset (908) 231-7167 † Gloucester (856) 853-3429 † Sussex (973) 579-0736 † Hudson (201) 217-5091 † Union (908) 659-3596 † Hunterdon (908) 237-5821 † Warren (908) 475-6142 † Mercer (609) 571-4473 1. The organizational telephonic conference was held on 2. The parties must complete their informal information exchange by 3. An initial mediation session has been scheduled for Revised 8/2006 , CN 10527-english page 1 of 2 INITIAL STATUS REPORT OF MEDIATOR Initial Status Report of Mediator Page 2 : Revised 8/2006 , CN 10527-english page 2 of 2 4. If any of the above questions have not been answered, please detail. 5. Please complete if applicable: The mediator requires assistance from the court Dated: Mediator: (print or type name) Note: This form must be faxed to the court at the appropriate county fax number listed above no later than 35 days after the referral of the case to you even if the telephone conference has not been held.