24.10 Forms
The following forms shall be used in conjunction with court-annexed mediation:
Form 1: Mediator Application and Self-Certification of Qualifications
Form 2: Order of Referral to Court-Annexed Mediation
Form 3: Confidentiality Agreement and Nonrepresentation
Acknowledgement
Form 4: Memorandum of Agreement/No Agreement
Form 5: Order of Dismissal
Form 6: Mediator Report, pursuant to Supreme Court Rule 99 as a mechanism for reporting to the Supreme
Court on the mediation program.