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Confidential Registration and Terms of Use Form


Of course, all submitted information is kept in the strictest confidence. You always retain control your information with Global Mediation Initiatives. Please use this Form to register for a mediation date with Mediator, Lynn Cole, or to request three potential mediation dates.

* indicated required fields
Name of Person Submitting Registration Form:*
Address:
City:
State/Province:
Zip Code:
Country:
Phone: (H)
Fax:
Phone: (W)
Email:*
Company or Law Firm Name:
Position of Person Submitting Request:


Name of Parties in Mediation:
Name of Plaintiff(s) (Claimant(s)): *


Defendant(s) (Respondent(s)):*


Is this request for mediation in a case currently pending in a court?
Yes No
If yes, what court:
United States Court for the Middle District of Florida
13th Judicial Circuit Hillsborough County
6th Judicial Circuit Court, Pinellas and Pasco Counties
United States Court for the Southern District of Florida
other:

Do you want a full day or one-half day for mediation :
Full Day One-half Day

Has the Court Ordered you to mediation:
Yes No
If yes, by what date must your mediation be held?

Requested Dates for Mediation (in order of preference):
First Date:*
Second Date:
Third Date:
Fourth Date:

AA Simple Procedure. Please review the following, which explains the process of using mediation. By clicking on "Yes" below and submitting the accompanying Request for Mediation, you are agreeing that you understand the terms and that you are entering into mediation using online mediation with the Law Offices of Lynn Cole , with the intent of resolving issues related to your dispute with the other party. So, please read the Terms carefully. Once you click on the Yes box, and hit Request Mediation, your Requested Dates and the Agreement to the Terms of Use are sent to adr@lynncole.com. You will receive a response within twenty-four (24) hours as to the dates you have requested. You also can call 813-223-7009 to request a date.

TERMS OF USE

TERMS OF USE 1. Mediation is confidential and privileged as settlement negotiations. The mediator uses a secure encrypted web site to ensure that these confidentiality requirements are met. If you desire more information on the security details of this web site, simply send a request to adr@lynncole.com and we will send you a "white paper" on the security of the web platform we are using.
2. The parties acknowledge and agree that no record is kept or maintained of online communications, emails, draft resolutions or unsigned mediated agreements. Only a mediated settlement agreement that is signed by the parties may be maintained and is admissible in court. Following the formal closing of the mediation, whether by settlement, impasse, or termination by the mediator, all electronic communications including emails, chat logs, and documents will be permanently deleted from files of the Mediator. The only pieces of information retained in the mediation system by the Mediator are the names of the parties (for your convenience should you use our service again) and various statistical data such as mediation session, date submitted, date closed, the result (settlement, impasse or continuation), and the Confidentiality Agreement.
3. The parties acknowledge and agree that Chapter 44.102(2)(3), Florida Statutes (court ordered mediation) governs this Mediation. It states, in part: Each party involved in a court ordered mediation proceeding has a privilege to refuse to disclose, and to prevent any person present at the proceeding from disclosing, communications made during such proceeding. All oral or written communications in a mediation proceeding, other than an executed settlement agreement, shall be exempt from the requirements of Chapter 119 and shall be confidential and inadmissible as evidence in any subsequent legal proceeding, unless all parties agree otherwise.
4. The parties acknowledge and agree that Chapter 44.107, Florida Statutes (Immunity for Arbitrators and Mediators), shall apply to this mediation and to Lynn H. Cole as the mediator, as if this dispute were court ordered. This Statute states, in pertinent part, ". . . a mediator appointed under Section 44.102 shall have judicial immunity in the same manner and to the same extent as a judge. . ." . The parties are aware that Ms. Cole is an experienced mediator and that they can view her detailed qualifications at www.lynncole.com. Prior to providing dispute resolution services, Lynn Cole notifies the parties and all concerned that she although she is a certified mediator, she also is an attorney, but may not act as an advocate for or give legal advice to any party.
6. All parties acknowledge that each should notify the mediator of their names and addresses and those of their attorneys so that the mediator can determine that she has no known conflict of interest in mediating the case. Her role shall be as a neutral intermediary, acting to encourage and facilitate the resolution of a dispute in an informal and non-adversarial process with the objective of helping the disputing parties reach a mutually acceptable and voluntary agreement. The decision-making authority rests with the parties. Her role as the mediator includes, but is not limited to, assisting the parties in identifying issues, fostering joint problem-solving, and exploring settlement alternatives.
7. The parties acknowledge and agree that Mediation is a voluntary process and that any party may terminate mediation for any reason at any time.
8. The parties further acknowledge and agree that the Mediator is not responsible for enforcing the terms of any settlement agreement reached by using this on-line mediation resource.
9. The Mediator, Lynn Cole, shall not be liable to any party for any error, act or omission in connection with any agreement reached in mediation which is conducted through this online resource; nor is she a necessary or proper party in judicial proceedings relating to the mediation.
10. The Parties understand that mediation is a process in which the mediator assists parties in reaching agreement in a collaborative, consensual and informed manner. They further understand that mediation is not a substitute for independent legal advice. The parties are advised to obtain independent legal review of any mediated settlement agreement before signing any settlement agreement because the Mediator can never give legal advice. For more information on the mediation process and Lynn Cole's mediation credentials, the parties may visit the website of www.lynncole.com.

Yes, I agree to the Terms of Use for E-MEDIATION and note my Agreement to Participate. I have decided not to use mediation at this time.






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