Palo Alto Mediation Program
1490 El Camino Real, Santa Clara, CA 95050
CASE RESOLUTION REPORT
Case Number:
Mediator:
Mediation Date:
/
Month
/
Day
Year
Date
Co Mediator:
Observer:
Method Used:
Mediation
Conciliation
Counseled
Case Outcome:
Resolved
Unresolved
Partially Resolved
Refused by SP
Resolved by Parties without Mediation
Cancelled by RP
Other
Conclusion:
Case Manager
Number of contacts with the parties:
Approx. Number of Hours spent on case:
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