Mediation Session Worksheet

 

NAMES:________________ DATE:________

 

TIME START:_____ TIME STOP:_____

 

TODAY’S AGENDA: (Note items that must get done today or soon)

 

 

 


 

TENTATIVE AGREEMENTS REACHED TODAY:

 

 

 

 


 

THINGS TO DO BEFORE NEXT MEETING BY:

 

MEDIATOR:                                               PARTICIPANTS:

 

Bring Documents?

 

 

 


FINANCES A:  B:
Old Balance Forward ____________________ ____________________
Work Since Last Meeting  + ____________________ ____________________
Today’s Fees  + ____________________ ____________________
Copies/Other  + ____________________ ____________________
FINANCE CHARGE  + ____________________ ____________________
Total Expenses Due  = ____________________ ____________________
Payments Received  – ____________________ ____________________
New Balance Forward  = ____________________ ____________________
Fees re Tax Issues Today  (__________________ )  (__________________ )
Total Fees to Date  (__________________ )  ( __________________)

 

 


 

NEXT MEETING       DATE:________    TIME:________

 

THIS MEETING NUMBER         

© John Lande 1985. Permission to copy granted if copyright notice is retained for credit.