FORM 70.11A

No.

IN THE SUPREME COURT OF NOVA SCOTIA

(FAMILY DIVISION)

BETWEEN:

*[A. B.]

Applicant

- and -

*[C. B.]

Respondent

MEDIATION REPORT

            (1) After the referral of the parties to mediation on *date, I met with the parties on the following dates: * .

            (2) Agreement was not reached on all issues.

            DATED at *[location], Nova Scotia on * [date].

                                                                                    MEDIATOR

TO:     The Supreme Court (Family Division)