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Instant access to fillable Microsoft Word or PDF forms. Minimize the risk of using outdated forms and eliminate rejected fillings.SECTION 1 - NOTICE OF SELECTION OF CERTIFIED MEDIATOR BY AGREEMENT. The above named matter was referred to mediation. The Commission shall promptly notify the clerk of any disciplinary action taken with respect to a mediator on the list of certified mediators. The Division shall make said selection and file with the Clerk of the Court a "Notice of Designation of Mediator". Submission of documents and brief or summary to mediation clerk; penalty for failure to submit materials. (b) Enabling Authority. If the Court refers a civil appeal to mediation, three forms must be filed with the Clerk at appropriate stages in the mediation. Rule 2.1. Attorney. 3.