An order scheduling a settlement conference pursuant to Rule 212.5 shall be substantially in the following form:

(Caption)

Scheduling Order for Rule 212.5

Settlement Conference

For the above-captioned case, a settlement confer ence pursuant to Rule 212.5 has been scheduled before

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at

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Courthouse (name of judge) at

___

o’clock. All parties shall be in compliance with the requirements of Rule 212.5(b).

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J.