Mediator feedback settlement meeting

Trust Mediation reference*

The mediation agreement*

I will forward the signed mediation agreement to the registrar

What was the date of the mediation?*

Which party instigated the mediation?

What was the outcome?*

Settlement value*

If the case did not settle what was the approximate value of the claim?

What stage had the case reached?*

Is an excess charge due?*

yes
no

We do not make an excess charge if less than one extra hour was required. If more than one extra hour was required we charge for all the extra hours at £200 per hour.

How many hours over the allotted time did the mediation run?*

We do not make an excess charge if less than one extra hour was required. If more than one extra hour was required we charge for all the extra hours at £200 per hour.

How did you ask the representatives to provide feedback?*

I gave them a feedback form
I referred them to the on-line form
I did not ask for feedback

Why not?*

Give details of any problems with the mediation?

Defendant's insurer details

Our insurer clients require details of the number of cases their offices are mediating. Please therefore complete the following information for each defendant.

How many defendants were involved?*

First Defendant's insurance company name*

If a representative of the First Defendant's insurance company attended what was their name?

FirstLast

Second Defendant's insurance company name*

If a representative of the Second Defendant's insurance company attended what was their name?

FirstLast

Third Defendant's insurance company name*

If a representative of the Third Defendant's insurance company attended what was their name?

FirstLast

Fourth Defendant's insurance company name*

If a representative of the Fourth Defendant's insurance company attended what was their name?

FirstLast

Information about counsel

This information is preferred but not essential.

Which parties were represented by counsel?

Claimant Counsel's name

FirstLast

Claimant Counsel's Email

Claimant Counsel's chambers

First Defendant Counsel's name

FirstLast

First Defendant Counsel's Email

First Defendant's Counsel chambers

Second Defendant Counsel's name

FirstLast

Second Defendant Counsel's Email

Second Defendant Counsel's chambers

Third Defendant Counsel's name

FirstLast

Third Defendant Counsel's email

Third Defendant Counsel's chambers

Fourth Defendant Counsel's name

FirstLast

Fourth Defendant Counsel's email

Fourth Defendant Counsel's chambers

Captcha

Leave feedback for a face to face mediation

Defendant's insurer details

Information about counsel