Fillable ARKANSAS ALTERNATIVE DISPUTE RESOLUTION COMMISSION 625 Marshall Street, (Administrative Office of the Courts)

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ARKANSAS ALTERNATIVE DISPUTE RESOLUTION COMMISSION 625 Marshall Street, (Administrative Office of the Courts)

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BROWSE ADMINISTRATIVE OFFICE OF THE COURTS (AR) FORMS

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ARKANSAS ALTERNATIVE DISPUTE RESOLUTION COMMISSION
625 Marshall Street, Suite 1200
Little Rock, AR 72201
Telephone:
501-682-9400
Facsimile:
501-682-9410
SPONSOR'S
CERTIFIED LIST OF R
EGISTRANTS
1. Name of Sponsor: ________________________________________________________________________
2. Address:
3. Name of Contact Person: ________________________________________________________
Telephone Number: ___________________________ Fax Number:
4. Program Name: ___________________________________________________________________________
5. Arkansas ADR Commission Program ID Number: _______________________________________________
CERTIFICATION
Attached are the Certificates of Attendance, in alphabetical order, acquired by the sponsor for
the
captioned program. The sponsor certifies that each attendee was a registrant, or presenter, at
the
captioned program. The sponsor makes no representations with regard to the validity of hours of credit
claimed by each mediator.
Sponsor Representative
Date
CME3
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ARKANSAS ALTERNATIVE DISPUTE RESOLUTION COMMISSION 625 Marshall Street, (Administrative Office of the Courts)

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Completed 20 July 2020

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