Ill. R. Cir. Ct. Cook Cnty. 21.10

As amended through September 23, 2024
Rule 21.10 - Forms

The following forms will 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

Form 4: Memorandum of Agreement/No Agreement

Form 5: Mediator Report, pursuant to Supreme Court Rule 99 as a mechanism for reporting to the Supreme Court on the mediation program.

Form 6: Evaluation Form, which will be kept confidential and only be used for statistical and evaluative purposes.

Ill. R. Cir. Ct. Cook Cnty. 21.10

Dated July 29, 2013, effective 8/1/2013.