Form AOC-MED-ADR-8 "Agreement to Mediate" - Kentucky

What Is Form AOC-MED-ADR-8?

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 September 1, 2007;
  • 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-8 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-8 "Agreement to Mediate" - Kentucky

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AOC-MED-ADR-8 Doc. Code: ATM
Rev. 9-07
Case No. _____________________
Page 1 of 1
Court________________________
l e x
e t
j u s t i t i a
Commonwealth of Kentucky
County ______________________
Court of Justice
AGREEMENT TO MEDIATE
Mediation Date ________________
www.courts.ky.gov
This agreement reflects the commitment of each party to negotiate fairly and honestly throughout the mediation process.
1.
The mediator will direct the mediation process in an impartial and neutral manner. The mediator has no authority to
force a settlement on the participants and does not provide legal, financial, therapeutic or other professional advice.
2.
All information disclosed during the mediation, either written or verbal, shall be confidential. The privilege resides
in the mediator and may not be waived by the parties. However, nothing prohibits a mediator from reporting abuse
according to KRS 209.030, KRS 209A.030, KRS 620.030 or other applicable law.
3.
Participants may choose another means to resolve their conflict at any time before mediation is completed, includ
ing, but not limited to, the court system.
4.
Any agreement signed as a result of the mediation is legally binding on all parties.
I understand and agree to abide by the terms of this agreement.
___________________________________
________________________________
Participant
Date
Participant
Date
___________________________________
________________________________
Participant
Date
Participant
Date
__________________________________
________________________________
Mediator
Date
Mediator
Date
Print
Reset Form
AOC-MED-ADR-8 Doc. Code: ATM
Rev. 9-07
Case No. _____________________
Page 1 of 1
Court________________________
l e x
e t
j u s t i t i a
Commonwealth of Kentucky
County ______________________
Court of Justice
AGREEMENT TO MEDIATE
Mediation Date ________________
www.courts.ky.gov
This agreement reflects the commitment of each party to negotiate fairly and honestly throughout the mediation process.
1.
The mediator will direct the mediation process in an impartial and neutral manner. The mediator has no authority to
force a settlement on the participants and does not provide legal, financial, therapeutic or other professional advice.
2.
All information disclosed during the mediation, either written or verbal, shall be confidential. The privilege resides
in the mediator and may not be waived by the parties. However, nothing prohibits a mediator from reporting abuse
according to KRS 209.030, KRS 209A.030, KRS 620.030 or other applicable law.
3.
Participants may choose another means to resolve their conflict at any time before mediation is completed, includ
ing, but not limited to, the court system.
4.
Any agreement signed as a result of the mediation is legally binding on all parties.
I understand and agree to abide by the terms of this agreement.
___________________________________
________________________________
Participant
Date
Participant
Date
___________________________________
________________________________
Participant
Date
Participant
Date
__________________________________
________________________________
Mediator
Date
Mediator
Date
Print
Reset Form