20.10 Forms

The following forms shall be used in conjunction with court-annexed mediation:

Form 1: Mediator Application and Self Certification Of Qualifications
Form 2: Order of Referral to Court-Annexed Mediation
Form 3: Confidentiality Agreement and Nonrepresentation Acknowledgment (Long Form- See suggested Form A)
Form 4: Memorandum of Agreement/No Agreement
Form 5: Order of Dismissal
Form 6: Mediator Report, pursuant to Supreme Court Rule 99 as a mechanism for reporting to the Supreme Court on the mediation program

Copyright 2018 by Circuit Court of Cook County