Form AOC-DRC-20 "Notice of Withdrawal/Disqualification of Mediator and Order for Substitution of Mediator" - North Carolina

What Is Form AOC-DRC-20?

This is a legal form that was released by the North Carolina Court System - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the North Carolina Court System;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AOC-DRC-20 by clicking the link below or browse more documents and templates provided by the North Carolina Court System.

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Download Form AOC-DRC-20 "Notice of Withdrawal/Disqualification of Mediator and Order for Substitution of Mediator" - North Carolina

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File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
County
District
Superior Court Division
Name Of Plaintiff(s)
NOTICE OF
WITHDRAWAL/DISQUALIFICATION
OF MEDIATOR AND ORDER FOR
VERSUS
SUBSTITUTION OF MEDIATOR
Name Of Defendant(s)
G.S. 7A-38.1, G.S. 7A-38.4A;
Rule 2(d) of the Rules for Mediated Settlement Conferences and Other
Settlement Procedures in Superior Court Civil Actions; Rule 2(d) of the
Rules for Settlement Procedures in District Court Family Financial Cases
Name Of Mediator Filing Notice
Mediator Email Address
Mediator Address
Mediator Telephone No.
Mediator Fax No.
The above-named mediator, who was
party-selected
court-appointed
to conduct a mediated settlement conference in the
above-captioned case, notifies the Court of the mediator’s withdrawal/disqualification as mediator for reasons as set forth below. (This
statement shall be consistent with the mediator’s duty of confidentiality set out in Standard III.)
SIGNATURE
Date
Name Of Mediator
Signature Of Mediator
ORDER
The Court hereby orders:
The parties shall have
days from the date of this Order to notify the Court of their selection of a substitute mediator. If the
parties take no action or cannot agree, the Court shall appoint a substitute mediator.
Date
Name Of Senior Resident Superior Court Judge Or Designee
Signature Of Senior Resident Superior Court Judge Or Designee
Date
Name Of Chief District Court Judge Or Designee
Signature Of Chief District Court Judge Or Designee
Original - File Copy - Senior Resident Superior Court Judge or District Court Judge Copy - Plaintiff Copy - Defendant
Copy - Original Mediator Copy - Mediator Substituting for Original Mediator
AOC-DRC-20, Rev. 3/20
© 2020 Administrative Office of the Courts
File No.
STATE OF NORTH CAROLINA
In The General Court Of Justice
County
District
Superior Court Division
Name Of Plaintiff(s)
NOTICE OF
WITHDRAWAL/DISQUALIFICATION
OF MEDIATOR AND ORDER FOR
VERSUS
SUBSTITUTION OF MEDIATOR
Name Of Defendant(s)
G.S. 7A-38.1, G.S. 7A-38.4A;
Rule 2(d) of the Rules for Mediated Settlement Conferences and Other
Settlement Procedures in Superior Court Civil Actions; Rule 2(d) of the
Rules for Settlement Procedures in District Court Family Financial Cases
Name Of Mediator Filing Notice
Mediator Email Address
Mediator Address
Mediator Telephone No.
Mediator Fax No.
The above-named mediator, who was
party-selected
court-appointed
to conduct a mediated settlement conference in the
above-captioned case, notifies the Court of the mediator’s withdrawal/disqualification as mediator for reasons as set forth below. (This
statement shall be consistent with the mediator’s duty of confidentiality set out in Standard III.)
SIGNATURE
Date
Name Of Mediator
Signature Of Mediator
ORDER
The Court hereby orders:
The parties shall have
days from the date of this Order to notify the Court of their selection of a substitute mediator. If the
parties take no action or cannot agree, the Court shall appoint a substitute mediator.
Date
Name Of Senior Resident Superior Court Judge Or Designee
Signature Of Senior Resident Superior Court Judge Or Designee
Date
Name Of Chief District Court Judge Or Designee
Signature Of Chief District Court Judge Or Designee
Original - File Copy - Senior Resident Superior Court Judge or District Court Judge Copy - Plaintiff Copy - Defendant
Copy - Original Mediator Copy - Mediator Substituting for Original Mediator
AOC-DRC-20, Rev. 3/20
© 2020 Administrative Office of the Courts
CERTIFICATE OF SERVICE
The undersigned mediator hereby certifies that on this date a copy of the foregoing Notice Of Withdrawal/Disqualification Of Mediator
And Order For Substitution Of Mediator was served on the parties or attorneys named below at the addresses specified by placing a
copy of the same in the United States Mail, postage prepaid.
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Name And Address Of Party Or Attorney
Date
Name Of Mediator
Signature Of Mediator
AOC-DRC-20, Side Two, Rev. 3/20
© 2020 Administrative Office of the Courts
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