Alternative Dispute Resolution Summary Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Alternative Dispute Resolution Summary Form. This is a Texas form and can be use in District Court Federal.
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Tags: Alternative Dispute Resolution Summary, Texas Federal, District Court
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF TEXAS
Alternative Dispute Resolution Summary
Provider must file completed form, in duplicate, with the U.S. District Clerk upon
completion of ADR.
1.
Civil Action number:
2.
Style of case:
3.
Nature of suit:
4.
Method of ADR used:
5.
Date ADR session was held:
6.
Outcome of ADR (Select one):
Mediation
Mini-Trial
Summary Jury Trial
Parties did not use my services.
Settled, in part, as a result of ADR.
Settled as a result of ADR.
Parties were unable to reach settlement.
Continuing to work with parties to reach settlement (Note: provider must file supplemental
ADR Summary Form at conclusion of his/her services).
7.
What was your TOTAL fee:
8.
Duration of ADR:
9.
Please list persons in attendance (including party association, i.e., defendant, plaintiff):
(i.e., one day, two hours)
(Provider)
Please provide the names, addresses, and telephone number of counsel on the reverse of this form.
10.
Provider information:
Signature
Date
Address
Telephone
American LegalNet, Inc.
www.FormsWorkflow.com
Alternative Dispute Resolution Summary
Continued
Please provide the names, addresses, and telephone numbers of counsel:
Name:
Name:
Firm:
Firm:
Address:
Address:
Phone:
Phone:
Name:
Name:
Firm:
Firm:
Address:
Address:
Phone:
Phone:
Name:
Name:
Firm:
Firm:
Address:
Address:
Phone:
Phone:
Name:
Name:
Firm:
Firm:
Address:
Address:
Phone:
Phone:
American LegalNet, Inc.
www.FormsWorkflow.com