Dispute Resolution Program Report Trial Court of Massachusetts District Court Department COURT DIVISION Program Name Reporting Period 6 Months Due on 1/31 SECTION I. 12 Months Due on 8/31 TOTAL ADR CASES: Number of all cases processed by program during the reporting period for all case types. Line 1. __________ Total number of ADR cases SECTION II. ADR CASES BY REFERRAL SOURCE: Number of ADR cases processed per the referral source of the case. Line 2. Line 3. Line 4. Line 5. Line 6. __________ __________ __________ __________ __________ Line 7. __________ ADR Program Screener Line 8. __________ Unknown Line 9. __________ TOTAL ADR CASES BY SOURCE Judge Clerk/Assistant Clerk Local ADR Coordinator Self (i.e., Party and/or Attorney) Other Court Personnel (Specify:) (Lines 2 - 8 total; Line 9 must equal Line 1.) SECTION III. ADR CASES BY EVENT: Number of ADR cases processed per the event at which case was received. Line 10. Line 11. Line 12. Line 13. __________ __________ __________ __________ Line 14. __________ ADR Screening Line 15. __________ Trial Date Line 16. __________ TOTAL ADR CASES BY EVENT Filing of Civil Complt./Petition Show Cause Hearing Pretrial Conference Other Pretrial Event (Specify:) (Lines 10 - 15 total; Line 16 must equal Line 1.) SECTION IV. ADR CASES BY CASE TYPE: Number of ADR cases processed per case type. Line 17. Line 18. Line 19. Line 20. Line 21. Line 22. Line 23. __________ __________ __________ __________ __________ __________ __________ Pre-criminal Crim Complaint Contract Tort Consumer Prot. Equit Remedy Small Claims Line 24. Line 25. Line 26. Line 27. Line 28. Line 29. Line 30. __________ __________ __________ __________ __________ __________ __________ Sm Cl Appeal. Summary Proc Supplm Proc HPO (c. 258E) Dog Appeal CHINS* C & P* Line 31. Line 32. Line 33. Line 34. __________ Delinquency* __________ Parent Rights* __________ Other __________ TOTAL ADR CASES BY CASE TYPE (Lines 17-33 total; Line 34 must equal Line 1.) * Brookline & Gloucester district courts only SECTION V. ADR CASE OUTCOMES BY ADR PROCESS PROVIDED: Outcomes by ADR process for all cases processed. PROCESS: MEDIATION OTHER PROCESS (specify) OTHER PROCESS (specify) OUTCOME Settled Not Settled Partially Settled Pending Final Outcome Line 35. Line 36. Line 37. Line 38. __________ __________ __________ __________ Line 40. Line 41. Line 42. Line 43. SECTION VI. Line 44. __________ (Lines 40-43 total.) Line 51. _______ NO. RESOLVED Line 52. _______ __________ __________ __________ __________ Line 49. __________ (Lines 45-48 total.) TOTAL OUTCOMES ALL PROCESSES: (Lines 39, 44 & 49 total) COMPLAINTS RECEIVED: NO. RECEIVED NATURE OF COMPLAINTS Line 39. __________ (Lines 35-38 total.) TOTAL OUTCOMES PER PROCESS: Line 45. Line 46. Line 47. Line 48. __________ __________ __________ __________ NO. PENDING Line 53. _______ ABOUT PROGRAM ABOUT NEUTRALS OTHER Line 50. __________ (Line 50 must equal Line 1.) PROGRAM DIRECTOR OR REPRESENTATIVE Line 54. _____Line 55. ____ Line 56. _______ www.mass.gov/courts DATE REPORT SUBMITTED Date/Time Printed: 09-17-2012 17:02:38 American LegalNet, Inc. www.FormsWorkFlow.com