SUPERIOR COURT ADR EVALUATION ARBITRATION MEDIATION NEUTRAL ASSESSMENT Dear ADR Practitioner: To insure prompt payment of your ADR Practitioners fee, please retur n this evaluation with: Settlement Agreement, Arbitrators Order, Mediators or Neutral Assessors Report. Type of ADR: Check one: Arbitration Mediation Neutral Assessment ADR Practitioner: Date: County: New Castle Kent Sussex Bar I.D. No.: Social Security No.: Appointment Date: C.A. No.: Case Caption: Arbitration Mediation Neutral Assessment Hearing Held Within 60 days: Yes No Hearing Held Within 120 days: Yes No Hearing Date (if applicable): Length of Hearing: ______Hours _____Minutes Did you conduct a teleconference prior to the hearing: Yes No If no hearing was held, please indicate the amount of non-hearing/prepar ation time you spent on this case: Hours _______ Minutes ______ Comments or Suggestions: Signature: Send to the assigned Judges Case Manager at: Office of the Prothonotary Office of th e Prothonotary Office of the Prothonotary 500 North King Street 38 The Green The Circle Lower Level 1 - Suite 500 Dover, DE 19901 Georgetown, DE 19947 Wilmington, DE 19801-3746 If the case settles before the hearing date, retu rn the questionnaire within five (5) days of settlement to assure payment for your non-hearing time. Revised 8.21.03