Fillable Arkansas ive mm C Dispute Resolution issio na (Administrative Office of the Courts)

Fill Online, Printable, Fillable, Blank Arkansas ive mm C Dispute Resolution issio na (Administrative Office of the Courts) Form

Use Fill to complete blank online ADMINISTRATIVE OFFICE OF THE COURTS (AR) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Arkansas ive mm C Dispute Resolution issio na (Administrative Office of the Courts)

On average this form takes 12 minutes to complete

The Arkansas ive mm C Dispute Resolution issio na (Administrative Office of the Courts) form is 1 page long and contains:

  • 0 signatures
  • 34 check-boxes
  • 33 other fields

Country of origin: US
File type: PDF

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

BROWSE ADMINISTRATIVE OFFICE OF THE COURTS (AR) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Arkansas
Al
t
e
r
na
t
ive
Dispute Resolution
C
o
mm
issio
n
Statistical
Reporting Form for Court Ordered
M
e
d
i
a
t
io
n
Please complete this
form
f
o
r
all court ordered mediations.
If
a
r
e
f
e
rr
a
l
fails
to attend mediation,
fill
in as much
in
f
o
r
m
a
tion
as possible in order
f
o
r
the
Commission
to compile accurate
st
a
tistics.
MEDIATOR
I
N
FOR
M
A
T
I
O
N
Last First M.I. Certification Number
City State Zip Phone
FILING
I
N
FOR
M
A
T
I
O
N
County Judge Circuit # Docket # (Include subject prefix, i.e. JV, DR, PR,CV)
Plaintiff’s Name Defendant’s Name Date Mediation was ordered
Division (please check one):
JUVENILE
DOMESTIC RELATIONS PROBATE
C
I
V
I
L
Is this case an Arkansas Access & Visitation Mediation Program Case? YES
NO
MEDIATION
I
SSU
E
S
Case Type: Please check all that apply.
For “Other”
c
a
t
ego
r
ies,
please
d
esc
r
i
b
e
case
c
ha
r
a
c
t
e
r
is
t
ics.
1. Motor Vehicle Negligence
2. Other Negligence
8.
Decedent Estates
16.
Separate Maintenance
9.
Trust Administration
17.
Domestic Abuse
3.
Malpractice
10.
Guardianship
18.
Families in Need of Services
4.
Product Liability
11.
Adoption
19.
Juvenile Delinquency
5.
Contracts (Please specify
12.
Divorce
20.
Dependency Neglect
type): _______________
13.
Paternity
21.
Termination of Parental Rights
6.
Equity
14.
Custody/Visitation
22.
Extended Juvenile Jurisdiction
7.
Partnership
15.
Child Support
23.
Other: __________________
1. Did the mediation take
p
l
a
ce
?
MEDIATION
S
E
SS
I
O
N(S)
A. No, mediation never began.
B. Yes, but mediation was halted, returned to court without agreement on / / .
C. Yes, mediation was completed on / / with a full agreement.
D. Yes, mediation was completed on / / with a partial agreement.
E. No agreement reached on / / .
2. Did the judge send all issues of the case to mediation
or
limited issues of the case? All Issues Limited Issues
3.
H
ow
m
an
y
m
e
d
i
a
t
io
n
sessio
n
s
we
r
e
co
ndu
c
t
e
d?
4.
H
ow
m
an
y
TOT
A
L
h
o
u
r
s
we
r
e
s
p
e
n
t
i
n
m
e
d
i
a
t
io
n?
Please complete and return
to
:
Arkansas
Al
t
e
r
na
t
ive
Dispute Resolution
C
o
mm
issio
n
A
d
m
i
n
is
t
r
a
t
ive
Office of the
C
o
u
r
t
s
625
Marshall
S
t
r
ee
t
Little Rock, AR
72201
FAX: (501)
682-9410
Rev.
01/16
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Arkansas ive mm C Dispute Resolution issio na (Administrative Office of the Courts)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document