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.