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Home >> Administrative Office of the Courts >> Alternative Dispute Resolution

Forms

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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

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Administrative Office of the Courts

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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

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