Defendant's Counsel Report Form
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| What is your name?
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| What is your case style?
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| Who will be attending mediation from your side?
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| Are there any time constraints on the mediation process for any of the attendees? If so, what?
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| What is the factual background of the claim asserted by the Plaintiff(s)?
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| What causes of action which have been asserted (or you believe will be asserted) by the Plaintiff(s)?
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| What are the defenses or counter-claims, if any, you have asserted on behalf of your client(s) and what are the facts underlying those defenses/claims?
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| If your client has asserted a counter-claim, what are the anticipated damages or relief requested associated with those claims?
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| Is there any important case law concerning claims or defenses (list citations)?
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| Is there any other relief requested? If so, what?
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| Are there any special circumstance that you feel may help us get the case settled?
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| Have you formed an opinion as to what the maximum amount you anticipate the Plaintiff(s) might pay to resolve this claim? If so, what is that amount?
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| What are your side's strongest claims/facts?
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| What are your side's weakest claims/facts?
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| Do you need any audio/visual equipment? If so, what do you need?
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| If there is more than one Defendant, which Defendant(s) do you believe have the most responsibility and in what percentage, if any?
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| Are there any parties who have already settled this case and if so, are you claiming a right to contribution, indemnity or settlement credit? If so, what?
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| Have you joined a responsible third-party? If so, please identify the party, their relationship to the case and the factual background behind their alleged responsibility.
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| Is confidentiality going to be a requirement?
| Yes No Maybe/Unsure
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Image Verification
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