Skip to main content
Arkansas Judiciary

Arkansas Judiciary

  • Help
  • Contact
  • Español

Search form

  • Courts
    • Supreme Court
      • Library
      • Reporter
      • Historical Society
      • Supreme Court Boards and Committees
      • Appeals on Wheels
      • Assignment Orders
    • Court of Appeals
      • Districts Map
    • Clerk of the Courts
    • Circuit Courts
      • Arkansas Judicial Circuits
      • Drug Court Programs
    • District Courts
      • State and Local District Courts
    • Court Structure Diagram
  • Administration
    • Administrative Office of the Courts
      • Alternative Dispute Resolution
      • Arkansas Court Automation Programs (ACAP)
      • Security & Emergency Preparedness
      • Court Interpreters
      • Arkansas IOLTA Program
      • Human Resources
      • Domestic Relations & Probate AAL Program
    • Domestic Violence Program
    • Office of Professional Programs
      • Continuing Legal Education
      • Arkansas State Board of Law Examiners
    • Attorney Discipline
      • Disciplinary Decisions
    • Office of Research and Justice Statistics
    • Judicial Branch Education
      • Public Education Information
      • Court Management Program
      • Trial Court Administrators
      • Education Videos
    • Juvenile Division
      • Attorney Ad Litem Program Information
      • Court Appointed Special Advocates (CASA)
      • Court Improvement Project (CIP)
      • Parent Counsel
    • Judicial Council
      • Arkansas Judicial Retirement System
    • Judicial Discipline
  • Forms and Publications
    • Forms and Publications
    • Annual Reports
    • Appellate Updates
    • Benchbooks
    • Court Forms
      • Child Support Guidelines
    • Newsletters
      • Benchmarks and Barcharts
      • Arkansas Court News
      • State of the Judiciary
      • Historical Society
      • The Line
  • Court Rules and Administrative Orders
    • Administrative Orders
    • Court Rules
  • Directories
    • Judicial Directory
      • Supreme Court
      • Court of Appeals
      • Administrative Office of the Courts
      • Circuit Judges
      • County Courts
      • District Courts
    • Attorney and Court Reporter Rosters
    • Attorney Search
    • Court Reporters
    • Attorneys Ad Litem
      • Dependency-Neglect
      • Domestic Relations/Probate
    • Certified Mediators
    • Juvenile Judges
    • Supreme Court Boards and Committees
    • Useful Resources
  • Meetings and Events

    Upcoming

    09/25 George Kevin Konecny v. Federated Rural Electric Insurance Exchange and Auto-Owners I...
    10/02 Chavell Jenison v. State of Arkansas
    10/09 Fall Judicial College/Judicial Council Meeting
    10/11 Court Reporters Annual Conference
    Calendar
Home >> Administrative Office of the Courts >> Alternative Dispute Resolution

Forms

Printer-friendly versionPDF version
AttachmentSize
PDF icon Certification Application711.1 KB
For Currently Certified Mediators
PDF icon Statistical Reporting Form (required upon completion of any circuit court ordered mediation)
PDF icon Mediator's Report to Court
PDF icon 2019 Application for Mediator Recertification
PDF icon Agent of Service Designation
PDF icon Application for Mediation Course Approval
PDF icon Application for Accreditation of CME Activity
PDF icon ADR Commission Certificate of Attendance
PDF icon Sponsor's Certified List of Registrants
PDF icon Request for CME Credit by a Speaker
PDF icon Sample Evaluation Form
PDF icon CME Forms & Instructions
PDF icon Mediator's Report to Court
PDF icon Observation Form
PDF icon Statistical Reporting Form
PDF icon Training Course Renewal Form
PDF icon Voluntary Relinquishment of Certification

ADR Menu

  • About Us
  • List of Certified Mediators
  • Rules
  • Training and Education
    • Rules and Forms
  • Mediation Programs
  • ADR Programs
  • Forms
  • ADR Statutes
  • Grants
  • Commission Approved Training Courses
  • Commission Members
  • Complaints against Mediators
  • ADR Proposed Rule Changes

Arkansas Courts

  • Supreme Court
    • Library
    • Reporter
    • Historical Society
    • Appeals on Wheels
  • Court of Appeals
  • Circuit Courts
    • Drug Court Program
  • Clerk of the Courts
  • District Courts

Administrative Office of the Courts

  • Administrative Office of the Courts
  • Alternative Dispute Resolution
  • Arkansas Court Automation Programs (ACAP)
  • Arkansas IOLTA Program
  • Court Interpreters
  • Domestic Violence Program
  • Judicial Branch Education Division
  • Judicial Council
  • Judicial Discipline
  • Office of Professional Programs
  • Office of Research and Justice Statistics
  • Office of the Committee on Professional Conduct
  • Security & Emergency Preparedness
State Seal

Arkansas Justice Building
625 Marshall Street, Little Rock, AR 72201
501-682-9400 (AOC) | (501) 682-2147 (Library)

Office of Professional Programs (Suite 110)
Phone: 501-374-1855
Office of Professional Conduct (Suite 200)
Phone: 501-376-0313
2100 Riverfront Drive
Little Rock, Arkansas 72202-1747

© Copyright 2016 Arkansas Judiciary

  • Login
  • Contact
  • Directions
  • Policies
  • Site Map
  • RSS