Palo Alto Mediation Program 1490 El Camino Real Santa Clara, CA 95050 (650) 856-4062 pamediation@housing.org
CASE RESOLUTION REPORT
Case Number:
*
Case Developer:
Case Outcome:
Mediated with an agreement
Mediated without an agreement
Not mediated but reached agreement via conciliation
Not mediated and not conciliated
Mediation Date:
/
Month
/
Day
Year
Date
Co-Mediator Name:
Observer (if applicable):
If the case did not go to mediation and was not conciliated, please describe what happened (e.g. SP didn’t respond, RP decided to drop the case, etc.)
Preview PDF
Submit
Should be Empty: