Form 6 
 IN THE SUPREME COURT OF THE STATE OF MONTANA 
 Supreme Court Cause No.__________ 
 _________________________________, 
 Plaintiff/Petitioner and 
 ☐ Appellant or ☐ Appellee, 
 v.ORDER OF MEDIATOR APPOINTMENT     
 _________________________________, 
 Defendant/Respondent and 
 ☐ Appellant or ☐ Appellee. 
 This appeal being subject to M. R. App. P. 7, and the parties having failed to jointly and timely select a mediator under M. R. App. P. 7(4)(c), 
 IT IS ORDERED that __________________________, whose name appears next on the list of attorneys desiring appointment as mediators for ☐ workers' compensation ☐ domestic relations ☐ money damages appeals which is maintained pursuant to M. R. App. P. 7(4)(e), is hereby appointed to conduct the mediation process required by M. R. App. P. 7(5); and 
 IT IS FURTHER ORDERED that the time periods set forth in M. R. App. P. 7(5)(d) shall run from the date of this order of appointment. 
 True copies of this order are being provided to counsel of record for the parties, or to the parties individually if not represented by counsel. 
 Dated this ___ day of __________, 20___. 
 __________________________________ 
 Clerk of the Supreme Court