Form AOC-MED-ADR-11 "Mediation Report to Court" - Kentucky

What Is Form AOC-MED-ADR-11?

This is a legal form that was released by the Kentucky Court of Justice - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2021;
  • The latest edition provided by the Kentucky Court of Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AOC-MED-ADR-11 by clicking the link below or browse more documents and templates provided by the Kentucky Court of Justice.

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Download Form AOC-MED-ADR-11 "Mediation Report to Court" - Kentucky

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AOC-MED-ADR-11 Doc. Code: MO
Rev. 4-21
Case No. _____________________
Page 1 of 1
Court________________________
County ______________________
Commonwealth of Kentucky
Court of Justice
www.kycourts.gov
MEDIATION
Mediation Date ________________
REPORT TO COURT
Judge: __________________________________________
RE: _________________________________________________________________________________________
q
Case is settled.
q
Case is not settled.
q
Case is partially settled. (civil only)
q
Case was not mediated for the following reason(s):
q
Case was deemed not suitable for mediation.
q
A mediation session could not be scheduled because of scheduling diffi culties.
q
One or more parties did not attend the mediation session
(specify): ____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
q
The matter was settled prior to mediation.
q
Other reason(s) (specify): ____________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Mediator:__________________________________________________________
Date:_____________________
(Name)
Print
Reset Form
AOC-MED-ADR-11 Doc. Code: MO
Rev. 4-21
Case No. _____________________
Page 1 of 1
Court________________________
County ______________________
Commonwealth of Kentucky
Court of Justice
www.kycourts.gov
MEDIATION
Mediation Date ________________
REPORT TO COURT
Judge: __________________________________________
RE: _________________________________________________________________________________________
q
Case is settled.
q
Case is not settled.
q
Case is partially settled. (civil only)
q
Case was not mediated for the following reason(s):
q
Case was deemed not suitable for mediation.
q
A mediation session could not be scheduled because of scheduling diffi culties.
q
One or more parties did not attend the mediation session
(specify): ____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
q
The matter was settled prior to mediation.
q
Other reason(s) (specify): ____________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Mediator:__________________________________________________________
Date:_____________________
(Name)
Print
Reset Form