Form 24.1A

Courts of Justice Act

(General heading)

NOTICE OF NAME OF MEDIATOR AND DATE OF SESSION

TO: MEDIATION CO-ORDINATOR

1.    I certify that I have consulted with the parties and that the parties have chosen the following mediator for the mediation session required by Rule 24.1: (name)

2.    The mediator is named in the list of mediators for (name county).

(or)

2.    The mediator is not named in a list of mediators, but has been chosen by the parties under clause 24.1.08 (2) (a) or (c).

3.    The mediation session will take place on (date).

(Date)

(Name, address, telephone number and fax number of plaintiff’s lawyer or of plaintiff)

RCP-E 24.1A (November 1, 2005)