SETTLEMENT WEEK CASE REQUEST FORM

THIS FORM SHOULD BE SUBMITTED TO THE COURT BY July 31, 2026. SUBMISSIONS RECEIVED AFTER July 31, 2026 WILL BE CONSIDERED ON A CASE-BY-CASE BASIS

JUDGE:

DATE:

Case No.:

CURRENT TRIAL DATE:

CASE NAME:

NAME OF REQUESTING ATTORNEY:

ADDRESS:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PHONE:

PARTY REPRESENTED:

ADDITIONAL MATERIALS:

1. List the last date of any pretrial and/or status conference, and/or any arbitration.

2. Brief statement of the status of discovery.

3. Brief statement of the issues in the Complaint, Counterclaim and Cross-Claim.

4. Status of any substantive motions either pending or ruled upon.

5. Have you also requested to be a mediator?

Yes

6. Provide Case Number, Judge’s Name, Case Caption of any other cases you have submitted for Settlement Week.

7. Have you and opposing counsel discussed placement of this case into Settlement Week?

Yes

8. Additional information/remarks:

I have reviewed the above case and in my opinion it has progressed to the point that I feel that the matter would benefit by placement into a mediated settlement conference.

Sincerely,

Signature

Attorney at Law