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Court of Appeal Fifth Appellate District CIVIL APPEAL CASE SCREENING QUESTIONNAIRE TO DETERMINE SUITABILITY FOR MEDIATION This questionnaire will assist the court in selecting cases for mediation to be conducted by a sitting justice of this court. Case Name and Court of Appeal Number Name of Attorney Name s of Client s Appellant or Respondent Trial Court Venue Name of Trial Judge Facts of Dispute PLEASE ATTACH A COPY OF THE VERDICT ORDER OR JUDGMENT APPEALED FROM What are the issues on appeal...
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