Fill and Sign the Report of Mediator in Superior Court Civil Actionnorth Form

STATE OF NORTH CAROLINA County File No. Name Of Plaintiff(s) Name Of Defendant(s) Name And Address Of Mediator Telephone No. Of Mediator Fax No. Of Mediator (If Applicable) Original-File Copy-Senior Resident Superior Court Judge or his/her d\ esignee Copy-Plaintiff Copy-Defendant (Over) In The General Court Of Justice Superior Court Division REPORT OF MEDIATOR IN SUPERIOR COURT CIVIL ACTION G.S. 7A-38.1; Rule 6.B(4) of the Rules Implementing Statewide Mediated Settlement Conferences and Other Settlement Procedures in Superior Court Civil Actions 1. The undersigned mediator reports the following results of a mediation se\ ttlement conference either ordered or voluntarily conducted in this case: a. Conference was held. was not held. b. If held, date conference was completed: c. If not held, the reasons were: 2. If the case was reported settled prior to or during a recess of the conf\ erence, provide the name(s) of the person(s) who reported the case settled: 3. The parties reached an: agreement on all issues. impasse. 4. If the case was settled, then, as required by MSC Rule 6.B(4)(b), t\ he mediator has advised the parties that MSC Rule 4.C requires that closing documents be filed with the court within 30 days of settlement (or 90 days if a State or political subdivision is involved) or before expiration of the mediation deadline, whichever is longer. The following closing document is to be filed: a. consent judgment. voluntary dismissal with prejudice. voluntary dismissal without prejudice. b. Name, address, email, and telephone number of party or attorney who is to file the closing document: Name: Address: Telephone number: ( ) - Email Address: 5. Names of those who attended the conference: VERSUS Name Affiliation (e.g., party, attorney, insurance company representative, lienholder, or other) AOC-CV-813, Rev. 7/14