21.10 Forms
The following forms will 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 Acknowledgment
Form 4: Memorandum of Agreement/No Agreement
Form 5: Mediator Report, pursuant to Supreme Court Rule 99 as a mechanism for reporting to the Supreme Court on the mediation program.
Form 6: Evaluation Form, which will be kept confidential and only be used for statistical and evaluative purposes.
[Dated July 29, 2013, effective August 1, 2013.]