I C Form Msc4 PDF Details

The intricacies of legal proceedings, especially within the realm of mediation, demand meticulous attention to detail and adherence to procedural protocols. At the heart of this process, within the jurisdiction of the North Carolina Industrial Commission, lies the Implementation of the MSC4 form (Rev. 9/01), a document steeped in the bureaucratic necessities of formal dispute resolution. Serving as a cornerstone for the mediation section, this form's foundational purpose is to facilitate the Designation of Mediator in cases where the commission deems a mediated settlement conference beneficial. It acts as a pivotal bridge between conflicting parties – the plaintiff and defendant, alongside their respective legal counsel – and the mediator, who is entrusted with the task of guiding the parties towards a potential settlement. By meticulously delineating the contact information of all involved, including telephone and fax numbers, and addresses, the form underscores the importance of clear lines of communication. Furthermore, the requirement for the mediator to meet specific qualifications as per ICMSC Rule 8(b), or alternatively, to be deemed qualified based on training and experience, highlights the commission's emphasis on ensuring that mediators are highly capable and suited for their role. The completion of this form, within a specified timeframe as set out in commission orders and the ICMSC rules, underscores the procedural discipline that frames the path to conflict resolution. As such, the MSC4 form is not just a piece of paperwork; it is a testament to the structured approach adopted by the North Carolina Industrial Commission in pursuing the noble endeavor of facilitating fair and amicable resolutions to disputes.

QuestionAnswer
Form NameI C Form Msc4
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmsc4 form msc4

Form Preview Example

I.C. Form MSC4 (Rev. 9/01)

NORTH CAROLINA INDUSTRIAL COMMISSION

N.C. Industrial Commission

Mediation Section

I.C. File No(s).

 

4342 Mail Service Center

Carrier No.

Raleigh, NC 27699-4342

 

 

 

County

,Plaintiff

v.

, Defendant

, Carrier

DESIGNATION OF MEDIATOR

 

 

Appearances

 

 

 

Plaintiff’sAttorney

 

Telephone

(

)

-

Address

 

 

Fax

(

)

-

Defendant’s Attorney

 

 

Telephone

(

)

-

Address

 

 

Fax

(

)

-

 

 

 

 

 

 

 

 

 

THIS FORM IS TO BE COMPLETED BY EITHER THE PLAINTIFF OR THE DEFENDANT WITHIN THE TIME SPECIFIED IN THE COMMISSION’S ORDERS AND THE ICMSC RULES.

Pursuant to the Order entered in the above captioned case, referring it to a mediated settlement conference, the parties have selected the mediator named below, who has agreed to serve.

Mediator

 

 

 

 

 

 

Telephone ( )

-

 

Fax (

)

-

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

Street Address/P.O. Box

 

City

 

State

 

 

 

 

ZIP Code

The above named mediator: (check one)

 

 

 

 

 

 

 

 

 

 

 

 

Meets the qualifications set forth in ICMSC Rule 8(b).

 

 

 

 

 

 

 

 

 

Is qualified to mediate this case by reason of the following training and experience

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This the

 

day of

,

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Plaintiff / Defendant or Representative