/ UNITED STATES DISTRICT COURT DISTRICT OF KANSAS))Plaintiff(s),) CIVIL ACTION) CASE NO. v.)))Defendant(s).)A D R R E P O R TTYPE OF ADR : Mediation 9 Other: 9 Name of Mediator or other Neutral:ADR Session Held (date): Additional Session(s) Held, if any (date):Results of Referral to ADR: Case settled before ADR Case did not settle Case settled at ADR session Case settled in part Mediation Fees (answer only if private mediator used):Did neutral serve pro bono? Yes 9 or No 9.Did neutral serve for a reduced fee? Yes 9 or No 9.Status of litigation when ADR occurred 226please check one:TRO 9 pre-discovery 9 partial discovery 9discovery complete 9pending dispositive motion 9 After dispositive motion ruling 9 other 9 Length of ADR session : American LegalNet, Inc. www.FormsWorkFlow.com /Dated: Attorney Signature (ATTENTION: This form is to be FILED by defense counsel within days of theconclusion or cancellation of the ADR session. This form must be completed and returned evenif the ADR session was not held. ). THIS FORM IS FILED No information other than that specifically requested should be included on this form. American LegalNet, Inc. www.FormsWorkFlow.com