Virginia's Judicial System


Forms Used by Circuit Court Mediation

alert To print a form, use the "Print for Submission to Court" button at the top of the form (rather than using the print feature of the Web browser).

How to Fill Out Revisable PDF Formsbullet Format of Forms

The following forms can be completed online and printed for submission to the court. The forms available for completion online are those typically completed and submitted by an attorney-represented or self-represented party to a case.

Forms Used by Circuit Court Mediation
Order of Referral to Orientation Session
Word DOC | Adobe PDF
Certified Mediator’s Request
Word DOC | Adobe PDF
Circuit Court Mediation Report
Word DOC | Adobe PDF
Evaluation of Mediation Session(s) and Mediator(s)
Word DOC | Adobe PDF
Procedures for completion of Form ADR-1002
Word DOC | Adobe PDF
Mediator Profile [Form ADR – 1005]
Word DOC | Adobe PDF
Instructions for Mediation Information System
Word DOC | Adobe PDF

How to Fill Out Revisable PDF Forms

To fill out a form, open the form by clicking on it. All fields within the form that can be edited will be highlighted in grey. Click inside the first field you wish to edit. Some fields only allow one line within that particular field to be edited. Begin typing. Use your "Tab" key to navigate forward through the different fields. Use the "Shift" plus "Tab" keys together to go back. Print the form by using the "Print for Submission to Court" button at the top of the form (rather than by using the print feature of your internet browser). Deliver the printout to the appropriate court.

Format of Forms

These forms are available as Adobe Acrobat PDF documents. The Adobe Acrobat Viewer (free from Adobe) allows you to view, complete and print PDF documents.

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