______________________________________
     Petitioner/Plaintiff,

v.


______________________________________
     Respondent/Defendant.


IN THE CIRCUIT COURT OF

THE ________________________ JUDICIAL

CIRCUIT IN AND FOR _________________________

COUNTY, FLORIDA

Case No.: __________________________________

Judge: __________________________________

Division: __________________________________

 

STIPULATION TO ARBITRATION
IN CONJUNCTION WITH MEDIATION

 

The parties hereto Stipulate to attend an Arbitration in Conjunction with Mediation before a mutually agreeable Mediator/Arbitrator associated with Florida Mediation Group.

Notice of the date, time and place for the Arbitration in Conjunction with Mediation (MED-ARB) shall be filed by Florida Mediation Group with copies to all counsel of record.

   Respectfully submitted:

(Counsel of record)

Copy furnished to: Florida Mediation Group
44 W. Flagler Street
19th floor
Miami, FL 33130
(305) 579-9990
Fax: 305-579-9991