Last updated: 3/28/2018
Mediators Record Of Service {RI-ADR009}
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Description
RI-ADR009 - MEDIATOR’S RECORD OF SERVICE. This is a Riverside County Superior Court form used by members of the Civil Mediation Panel who provided a Court-Ordered Mediation pursuant to Local Rule, Title 3, Division 2. Mediators must submit this form within ten (10) days of the mediation to the ADR Director. It documents the mediator’s service, including preparation time, mediation date(s), case information, and whether the matter resulted in full resolution, partial resolution, or no resolution. If the case did not fully resolve, the mediator may indicate contributing factors without disclosing confidential information. The form also allows mediators to provide feedback regarding court support services. Approved for Optional Use. www.FormsWorkflow.com





