Small Claims Mediation Session Log (PDF)

Document mediation attendance, offers, and outcomes to show good-faith efforts in small claims matters.

Court name

Case number

Mediation provider / program

Mediator name (optional)

Mediation sessions

Document attendance, issues, offers, and outcomes.

Session 1

Session date

Attendees present

Issues discussed

Settlement offers exchanged

Outcome

Next steps

Final notes

I certify that the information above is true and accurate.

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