Proof Of Adr Or Exemption Page 2

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4.
As a result of ADR, this case should be considered (please check one);
(
) Fully Settled.
(
)
by Consent Judgment, to be filed by
or
(
)
Voluntary Dismissal to be filed by
(
) Partially Settled.
(
) At an Impasse.
In need of further ADR I
am
am not willing to
(
)
continue as a neutral. I recommend that ADR resume as
of
.
5.
Plaintiff
was present
was not present
Defendant
was present
was not present
6.
Other partcipants were:
Lawyer for Defendant
Lawyer for Plaintiff
Representative for Insurance Carrier
Guardian ad Litem
Experts
Others
7.
Choice of the neutral was by:
Stipulation
Court Order
8.
The total number of hours spent in ADR was:
hours.
9.
Further comments of the neutral:
Neutral’s Signature
Date:
SCADR 104B (11/2012)

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