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
UNITED STATES DISTRICT COURT
Western District of Texas
Alternative Dispute Resolution Summary
1.
Style of case:
2.
Civil action number:
3.
Nature of suit:
4.
Date of Mediation:
5.
When did the case settle?
Before ADR
6.
What was your total fee?
$
7.
How was this Mediation initiated?
8.
Please provide the names, addresses, and telephone numbers of counsel:
In ADR
Did Not Settle
or
Pro Bono
by court order
or
Name:
Name:
Address:
Address:
Phone:
Phone:
Name:
Name:
Address:
Address:
Phone:
agreement of the parties
Phone:
9.
Additional comments:
Signature of Neutral
Date
Address
Phone
Neutral must file completed form in duplicate with the U.S. District Clerk within 5 days after completion of
ADR or, if settlement occurs prior to session, within 5 days of neutral's notice by the parties of settlement.
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