Form AOC-DRC-13 "Certificate of Co-mediation/Mediation (District Criminal Court Mediation)" - North Carolina

What Is Form AOC-DRC-13?

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

Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the North Carolina District Court;
  • 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-DRC-13 by clicking the link below or browse more documents and templates provided by the North Carolina District Court.

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Download Form AOC-DRC-13 "Certificate of Co-mediation/Mediation (District Criminal Court Mediation)" - North Carolina

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CERTIFICATE OF CO-MEDIATION/MEDIATION
(DISTRICT CRIMINAL COURT MEDIATION)
G.S. 7A-38.3D(d); Rule 7(a)(2)(c)(2) of the Rules of Mediation for Matters in District Criminal Court
Name of Applicant for Certification:
Instructions:
Rule 7(a)(2)(c)(2) of the Rules of Mediation for Matters in District Criminal Court provides that applicants for certification must mediate
or co-mediate three court-referred district criminal court mediations under the observation of staff affiliated with a community mediation
center whose criminal district court mediator training program has been certified by the NC Dispute Resolution Commission, pursuant to
Rule 8 of these rules. Supply the information requested below for each case you mediated or co-mediated.
1. On
, I,
,
(Date)
(Name Of Applicant)
mediated
co-mediated
case no.
under the observation of
,
(Name Of Center Staff)
affiliated with
.
(Name Of Community Mediation Center)
(Signature Of Above-Named Center Staff)
2. On
, I,
,
(Date)
(Name Of Applicant)
mediated
co-mediated
case no.
under the observation of
,
(Name Of Center Staff)
affiliated with
.
(Name Of Community Mediation Center)
(Signature Of Above-Named Center Staff)
3. On
, I,
,
(Date)
(Name Of Applicant)
mediated
co-mediated
case no.
under the observation of
,
(Name Of Center Staff)
affiliated with
.
(Name Of Community Mediation Center)
(Signature Of Above-Named Center Staff)
AOC-DRC-13, Rev. 3/20
© 2020 Administrative Office of the Courts
CERTIFICATE OF CO-MEDIATION/MEDIATION
(DISTRICT CRIMINAL COURT MEDIATION)
G.S. 7A-38.3D(d); Rule 7(a)(2)(c)(2) of the Rules of Mediation for Matters in District Criminal Court
Name of Applicant for Certification:
Instructions:
Rule 7(a)(2)(c)(2) of the Rules of Mediation for Matters in District Criminal Court provides that applicants for certification must mediate
or co-mediate three court-referred district criminal court mediations under the observation of staff affiliated with a community mediation
center whose criminal district court mediator training program has been certified by the NC Dispute Resolution Commission, pursuant to
Rule 8 of these rules. Supply the information requested below for each case you mediated or co-mediated.
1. On
, I,
,
(Date)
(Name Of Applicant)
mediated
co-mediated
case no.
under the observation of
,
(Name Of Center Staff)
affiliated with
.
(Name Of Community Mediation Center)
(Signature Of Above-Named Center Staff)
2. On
, I,
,
(Date)
(Name Of Applicant)
mediated
co-mediated
case no.
under the observation of
,
(Name Of Center Staff)
affiliated with
.
(Name Of Community Mediation Center)
(Signature Of Above-Named Center Staff)
3. On
, I,
,
(Date)
(Name Of Applicant)
mediated
co-mediated
case no.
under the observation of
,
(Name Of Center Staff)
affiliated with
.
(Name Of Community Mediation Center)
(Signature Of Above-Named Center Staff)
AOC-DRC-13, Rev. 3/20
© 2020 Administrative Office of the Courts