"Mediator's Report to Court" - Arkansas

Mediator's Report to Court is a legal document that was released by the Arkansas Judiciary - a government authority operating within Arkansas.

Form Details:

  • The latest edition currently provided by the Arkansas Judiciary;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas Judiciary.

ADVERTISEMENT
ADVERTISEMENT

Download "Mediator's Report to Court" - Arkansas

1402 times
Rate (4.5 / 5) 84 votes
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: __________________________________________
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: __________________________________________