Statement Of Agreement Or Nonagreement {ADR-100}

ADR-100, STATEMENT OF AGREEMENT OR NONAGREEMENT, this form is used when the mediator in a civil case that was sent to mediation by the court tells the court whether the mediation was held and whether the parties reached an agreement about the case in the mediation. Also tells the court that the mediator had this form delivered to (served on) the parties. The mediator must complete, serve, and file this form  within 10 days after conclusion of the mediation, or by an another date set by the court, in all cases assigned to mediation under the Civil Action Mediation Program. (Code Civ. Proc., § 1775 et seq.)  as required by the court in other mediation programs. In completing this form, the mediator must not  provide any information beyond what is specifically requested, or  disclose any settlement terms, confidential communications, mediation conduct, or mediator conclusions or impressions. (Evid. Code, § 1115 et seq.) Form Adopted for Mandatory Use, Judicial Council of California ADR-100 [Rev. July 1, 2012], Code of Civil Procedure, § 1775.9 Cal. Rules of Court, rule 3.895 www.FormsWorkflow.com