Alternative Dispute Resolution Summary

UNITED STATES DISTRICT COURT 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 In ADR Did Not Settle6. What was your total fee? $ or Pro Bono 7. How was this Mediation initiated? by court order or agreement of the parties8. Please provide the names, addresses, and telephone numbers of counsel: Name: Name: Address: Address: Phone: Phone: Name: Name: Address: Address: Phone: 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 neutrals notice by the parties of settlement.