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Forms & Publications

The Annual Report on Evaluation of ADR Fund Plan forms are available below as Microsoft Excel documents. Either form is designed to be completed in Excel, saved, and then emailed to ADR@courts.in.gov. You can print a copy of the form for your records, but you should submit an electronic file, not a printed file.


Forms

ADR Fund Plan Annual Report - Contract Mediator

Please use this form if: (1) the ADR Fund Plan utilizes contract ADR service providers to conduct the ADR services, (2) co-payments are not collected by the court/clerk, or (3) co-payments are collected by the court/clerk but are not deposited in the ADR Fund Plan account and are simply forwarded to the ADR service provider.

ADR Fund Plan Annual Report - Staff Mediator

Please use this form if: (1) the ADR Fund Plan utilizes a staff member of the court to conduct the ADR services, or (2) co-payments are collected by the court/clerk and are deposited in the ADR Fund Plan account.

Publications

Domestic Relations ADR Fund Plan Information Kit

Current U.S. Federal Poverty Guidelines

For use by programs in determining eligibility and possible co-payments, and in completing the annual report.


For more information, please contact Joseph Fischer at 317-233-1579 or joseph.fischer@courts.in.gov.

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