PMC Forms Under The 2020 Guidelines On CAM and JDR in Civil Cases

PMC Form No.
2 (Revised March 1,2021) - Mediator's Report
Republic of the Philippines
Civil/SCA/Special Proc.lLRC
Plaintiff/s/Petitioner/s, Case No. --------
For: -----------------
-versus-
---------------------------------------,
Defendant/s/Respondent/s.
x-----------------------------------------------------------x
MEDIATOR'S REPORT
Upon receipt of the Order of Referral, CAM was set as follows:
Particulars r CAM Session 2nJ CAM Session 3'" CAM Session 4'" CAM Session
Date and Time
Plaintiff/Petitioner
Counsel for the Plaintiff/Petitioner
Defendant/Respondent
Counsel for Defendant/Respondent
Status
OUTCOME
DSUCCESSFUL CAM, attached herewith is/are:
Da) Compromise Agreement
Db) Motion to Dismiss/Withdraw Case
Dc) Proof of Satisfaction of Claim/s
Dd) Others, specify _
OF AILED CAM due to

Da) No agreement was reached by the parties despite efforts towards a settlement
Db) Parties fail to appear on the date of resetting
Dc) Others, specify _
DBACK TO COURT, NO CAM CONDUCTED due to

Da) Non-appearance of one or both parties in at least two successive CAM sessions
Db) Non-payment or refusal to pay mediation fees
Dc) Refusal to participate in the mediation proceedings
Dd) Preference of the parties to begin trial on the merits
De) Lack of authority of the representative of _
RECOMMENDATION
o
Approval of the attached document/s
o
Dismissal of the case for non-appearance of the plaintiff/s despite notice and allow
defendant/s to adduce evidence on counterclaims, if any, or allow the plaintiff/s to adduce
evidence in case defendantls fail to appear despite notice
o
Imposition of sanctions on the absent party, such as but not limited to censure, reprimand,
declaration in contempt, costs and fees spent by the attending party and such other
sanctions for failure to appear for pre-trial under the Rules.
REMARKS: _
Mediator PMe Unit Staff
Date
PMC Form No. 20 - Joint Manifestation
Civil/SCA/Special Proc.lLRC
For: _
-versus-
x-----------------------------------------------------------x
JOINT MANIFESTATION
Pursuant to the 2020 Guidelines for the Conduct of Court-Annexed Mediation (CAM) and
Judicial Dispute Resolution (JDR) in Civil Cases, the parties hereby manifest that:
1. They have mutually and voluntarily agreed for the Judge of this Court to conduct
JDR and not refer the case to another Judge for such purpose;
2. They respectfully request the Court to proceed with the conduct of JOR despite any
confidential information that may be divulged during the proceedings;
3. They understand that should JOR fail, the Judge shall continue with the trial of the
case and proceed to render judgment; and
4. That by virtue of this manifestation, they shall be barred from seeking the inhibition
of the Judge for whatever reason.
WHEREFORE, premises considered, the parties respectfully pray for the court to schedule
the above-entitled case for JDR.
Other reliefs just and equitable under the premises are likewise prayed for.
(place) (date)
Plaintiff/Petitioner Defendant/Respondent
PMC Form No. 21- JDR Report
Civil/SCA/Special Proc./LRC
For:
-versus- ----------
----------------------------------,
x-----------------------------------------------------------x
JDRREPORT
Upon receipt of the Order of Referral, the JDR was set as follows:
Particulars ]-<1 JDR Session 2"d JDR Session

Date and Time
Plaintiff/Petitioner
Counsel for the Plaintiff/Petitioner
Defendant/Respondent
Counsel for Defendant/Respondent
Status
OUTCOME
o
SUCCESSFUL JDR, attached herewith is/are:
Da) Compromise Agreement
Db) Motion to Dismiss/Withdraw Case
Dc) Proof of Satisfaction of Claim/s
Dd) Others, specify _
OFAILED JDR due to

Da) No agreement was reached by the parties despite efforts towards a settlement
Db) Others, specify _
o BACK TO TRIAL JUDGE, NO JDR CONDUCTED due to

Da) Non-appearance of one or both parties
Db) Preference of the parties to begin trial on the merits
Dc) Inhibition sought by one or both parties
Dd) Lack of authority of the representative of _
RECOMMENDATION
oApproval of the attached document/s
oDismissal of the case for non-appearance of the plaintiff/s despite notice and allow
defendant/s to adduce evidence on counterclaims, if any, or allow the plaintiff/s to adduce
evidence in case defendantls fail to appear despite notice
oImposition of sanctions on the absent party, such as but not limited to censure, reprimand,
declaration in contempt, costs and fees spent by the attending party and such other
sanctions for failure to appear for pre-trial under the Rules.
oReferral to another JDR Judge (in case of inhibition)
oProceed to trial on the merits
Issued on this on _
JDR Judge

PMC Forms Under The 2020 Guidelines On CAM and JDR in Civil Cases

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PMC Forms Under The 2020 Guidelines On CAM and JDR in Civil Cases

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PMC Form No.

2 (Revised March 1,2021) - Mediator's Report

Republic of the Philippines

OF AILED CAM due to

DBACK TO COURT, NO CAM CONDUCTED due to

Mediator PMe Unit Staff

Republic of the Philippines

Republic of the Philippines

Particulars ]-<1 JDR Session 2"d JDR Session

OFAILED JDR due to

o BACK TO TRIAL JUDGE, NO JDR CONDUCTED due to

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