Form Adr 101 PDF Details

The ADR 101 form serves as a critical tool within the judicial system for summarizing and evaluating the effectiveness of alternative dispute resolution (ADR) processes in civil cases. Utilized by parties involved in disputes ranging from personal injury and auto accidents to contract disagreements, this form must be completed and submitted within 10 days after a dispute has been resolved. It encompasses essential details including the name and type of the case, the amount in controversy, information about the legal representatives for all parties, and the ADR process employed—be it mediation, arbitration, neutral case evaluation, or another method. Furthermore, the form queries participants about their relationship to the case, the outcome of the ADR process, and any financial and time savings compared to traditional litigation. This comprehensive document not only aids in administrative record-keeping but also offers valuable insights into the efficiency and effectiveness of ADR methods in resolving legal disputes. Through questions on cost savings, time saved by the court, and willingness to use the process again, the ADR 101 form plays a pivotal role in gauging the success and potential areas for improvement in dispute resolution practices outside the courtroom.

QuestionAnswer
Form NameForm Adr 101
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesadr 101, adr101, adr form, adr information form online

Form Preview Example

NAME OF COURT:

ADR Information Form

This form should be filled out and returned, within 10 days of the resolution of the dispute, to:

1. Case name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No.

 

2.

Type of civil case:

 

 

PI/PD-Auto

PI/PD-Other

 

Contract

 

 

Other (specify):

 

 

 

 

 

 

3.

Date complaint filed

 

 

 

 

 

 

Date case resolved

 

 

 

 

 

 

 

 

 

 

 

4. Date of ADR conference

 

 

 

 

 

 

 

 

 

 

 

 

5. Number of parties

 

6. Amount in controversy

 

$0–$25,000

$25,000–$50,000

 

$50,000–$100,000

over $100,000 (specify):

 

7.

 

Plaintiff's Attorney

 

Cross Complainant's Attorney

8.

 

 

Defendant's Attorney

Cross Defendant's Attorney

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

9. Please indicate your relationship to the case:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plaintiff

Plaintiff's attorney

 

 

 

 

 

 

 

 

 

 

 

Defendant

 

Defendant's attorney

 

 

3rd party defendant

 

3rd party defendant's attorney

 

 

 

 

 

 

Other (specify):

 

 

 

 

 

 

10. Dispute resolution process:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mediation

 

Arbitration

Neutral case evaluation

 

 

 

Other (specify):

 

 

 

 

 

 

 

11. How was case resolved?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

As a direct result of the ADR process.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

As an indirect result of the ADR process.

c.

Resolution was unrelated to ADR process.

12.Check the closest dollar amount that you estimate you saved (attorneys fees, expert witness fees, and other costs) by using this dispute resolution process compared to resolving this case through litigation, whether by settlement or trial.

$0

$250

$500

$750

$1,000

more than $1,000 (specify): $

13.If the dispute resolution process caused a net increase in your costs in this case, check the closest dollar amount of the additional cost:

$0

$250

$500

$750

$1,000

more than $1,000 (specify): $

14.Check the closest number of court days that you estimate the court saved (motions, hearings, conferences, trial, etc.) as a result of this case being referred to this dispute resolution process:

0

1 day

more than 1 day (specify):

15.If the dispute resolution process caused a net increase in court time for this case, check the closest number of additional court days:

0

1 day

more than 1 day (specify):

 

 

 

16. Would you be willing to consider using this dispute resolution process again?

Yes

No

Form Adopted by the

Judicial Council of California ADR-101 [New March 1, 1994]

ADR INFORMATION FORM