Fillable Arkansas Alternative Dispute Resolution Commission (Administrative Office of the Courts)

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Arkansas Alternative Dispute Resolution Commission (Administrative Office of the Courts)

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File type: PDF

U.S.A. forms for Administrative Office of the Courts

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Arkansas Alternative Dispute Resolution Commission
Mediators certified by the Arkansas Alternative Dispute Resolution Commission must abide by
the following standards as set forth in The Requirements for the Conduct of Mediation and
Mediators:
STANDARD 7. MEDIATOR REPORTS
A. Prohibited Mediator Reports. Except as required in section (B), a mediator
shall not make a report, assessment, evaluation, recommendation, finding, or other
communication regarding a mediation to a court, administrative agency, or other
authority that may make a ruling on the dispute that is the subject of the mediation.
B. Permitted Disclosures. A mediator may disclose whether the mediation
occurred or has terminated, whether a settlement was reached, and attendance.
This form is designed to be used when a judge requests a mediator’s report on a court
ordered case.
MEDIATOR’S REPORT TO COURT
Judge: ___________________________________ County:_______________________
Case: ______________________________ vs ________________________________
Plaintiff Defendant
Case #: _______________________
The above referenced case was mediated by:
Mediator’s Name: ____________________________________________
An agreement was was not reached.
Mediator’s Signature: _________________________________________
Date: __________________________________________
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Arkansas Alternative Dispute Resolution Commission (Administrative Office of the Courts)

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Completed 20 July 2020

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