Confidential Joint Request to Enter Appellate Mediation Program

• Legal Form Number: 27
• Date: 01 March 2021
• Court: United States Courts of Appeals. United States Court of Appeals for the Federal Circuit
• Section: United States Court of Appeals for the Federal Circuit

Form 27. Confidential Joint Request to Enter Appellate Mediation Program Form 27

March 2021

UNITED STATES COURT OF APPEALS

FOR THE FEDERAL CIRCUIT

CONFIDENTIAL JOINT REQUEST TO ENTER

APPELLATE MEDIATION PROGRAM

Case Number:

Short Case Caption:

We would like the above case considered for entry into the Appellate Mediation

Program (counsel for all parties must sign).

Signature of Counsel for: Appellant/Petitioner Cross-Appellant

Appellee/Respondent Intervenor

Name of Party Represented:

Law Firm:

Address:

Phone Number: Email Address:

Date: _________________ Signature:

Name:

Signature of Counsel for: Appellant/Petitioner Cross-Appellant

Appellee/Respondent Intervenor

Name of Party Represented:

Law Firm:

Address:

Phone Number: Email Address:

Date: _________________ Signature:

Name:

This Joint Mediation Request must be submitted to the Circuit Mediation

Administrator. Please send the completed form to

Circuit Mediation Administrator

U.S. Court of Appeals for the Federal Circuit

717 Madison Place, NW

Washington, DC 20439

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