Mediation Forms Library
Welcome to the Mediation Forms Library. We hope the information shown here is helpful and will make your contact with court easier and more productive. Many of our forms are multiple pages - make sure you fill out all pages and print all of them prior to submitting them to the court.
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To download all the Mediation Rules, Forms, and the Index at once, click the ZIP file link below. This is a large file and may require considerable download time. Please be patient. You will have to extract and save the files to your computer.
All Forms, Rules, and Index.ZIP
Individual Forms
The following forms are intended to be used as samples only. You can print them or save the Microsoft Word documents and use them as a template for your own individual documents. To download form samples, click on the appropriate document title. Forms in BOLD are prepared by the ADR office (see index above).
All documents are to be filed with the ADR Office.
| Form # | Title/Name of Document | Nevada Mediation Rule Number |
| 1 | STIPULATION TO PARTICIPATE IN MEDIATION PROGRAM | 2 |
| 2 | PRIVATE MEDIATOR STIPULATION AND AFFIDAVIT | 3(A) |
| 3 | MEDIATOR’S REPORT TO COMMISSIONER | 8 |
| 4 | MEDIATION ATTENDANCE SHEET | 8 |
| 5 | MEDIATOR’S BILL FOR FEES AND COSTS | 10 |
| 6 | REQUEST FOR INCREASE OF MEDIATOR’S FEES | 10(A) |
| 7 | ORDER ON REQUEST FOR INCREASE OF MEDIATOR’S FEES | 10(A) |
| 8 | MOTION TO ENTER JUDGMENT FOR MEDIATOR’S FEES & COSTS | 10(D) |
| 9 | ORDER FOR JUDGMENT FOR MEDIATOR’S FEES/COSTS | 10(D) |
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Form Packets and Rules
- Arbitration On-Line Rules and Forms Packets
- Mediation On-Line Rules and Forms Packets
- Short Trial On-Line Rules and Forms Packets












