Verification of Qualification to Act as Mediator (rev. 06/01/2026)

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Verification_of_Qualification_to_Act_as_Mediator_(LF-50).pdf

Verification_of_Qualification_to_Act_as_Mediator_(LF-50).doc

Form Number:

LF-50

Upcoming

Pending Fed. R. Bankr. P. and Official Forms Amendments

Privacy Requirements for Filed Documents

To protect the privacy of individuals, certain personal data identifiers as listed below must be redacted before a document is filed with the Court (see Fed. R. Bankr. P. 9037). The Court will not review filed documents to ensure personal data identifiers are redacted.

United States Bankruptcy Court

Southern District of Florida

Scott M. Grossman, Chief Judge
Joseph Falzone, Clerk of Court

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Verification of Qualification to Act as Mediator (rev. 06/01/2026)

Social Security/ Tax Identification Numbers

Names of Minor Children

Dates of Birth

Financial Account Numbers