ADR-200 - Mediation Disclosure Notification and Acknowledgement

Summary

Mediation Disclosure Notification and Acknowledgement

Text

Form ID: ADR-200
Title: Mediation Disclosure Notification and Acknowledgement
Effective Date: 2020-01-01
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/ADR-200
Primary Download URL: https://www.courts.ca.gov/documents/adr200.pdf
Form Detail Page:
Mediation Disclosure Notification and Acknowledgement
(ADR-200)
Attorneys for clients who are participating in mediation or communicating with a mediator about participating give their clients this information about the confidentiality of mediation. Clients sign to say that they understand this information.
Get form ADR-200
Effective: January 1, 2020
PDF Text:
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Form Approved for Optional Use 
Judicial Council of California 
ADR-200 [New January 1, 2020]
MEDIATION DISCLOSURE NOTIFICATION AND ACKNOWLEDGEMENT Evidence Code, § 1129 
www.courts.ca.gov
ADR-200
MEDIATION DISCLOSURE NOTIFICATION  
AND ACKNOWLEDGMENT
ATTORNEY NAME:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
STATE BAR NO.:
TELEPHONE NO.: E-MAIL ADDRESS:
To promote communication in mediation, California law generally makes mediation a confidential 
process. California's mediation confidentiality laws are laid out in sections 703.5 and 1115 to 1129, 
inclusive, of the Evidence Code. Those laws establish the confidentiality of mediation and limit the 
disclosure, admissibility, and a court's consideration of communications, writings, and conduct in 
connection with a mediation. In general, those laws mean the following:
All communications, negotiations, or settlement offers in the course of a mediation must 
remain confidential.
Statements made and writings prepared in connection with a mediation are not admissible or 
subject to discovery or compelled disclosure in noncriminal proceedings.
A mediator's report, opinion, recommendation, or finding about what occurred in a mediation 
may not be submitted to or considered by a court or another adjudicative body.
A mediator cannot testify in any subsequent civil proceeding about any communication or 
conduct occurring at, or in connection with, a mediation.
This means that all communications between you and your attorney made in preparation for a 
mediation, or during a mediation, are confidential and cannot be disclosed or used (except in 
extremely limited circumstances), even if you later decide to sue your attorney for malpractice 
because of something that happens during the mediation.
I,  [Name of Client], understand that, unless all participants 
agree otherwise, no oral or written communication made during a mediation, or in preparation for a 
mediation, including communications between me and my attorney, can be used as evidence in any 
subsequent noncriminal legal action including an action against my attorney for malpractice or an 
ethical violation.
NOTE: This disclosure and signed acknowledgment does not limit your attorney's potential liability to 
you for professional malpractice, or prevent you from (1) reporting any professional misconduct by 
your attorney to the State Bar of California, or (2) cooperating with any disciplinary investigation or 
criminal prosecution of your attorney.
Date:
(TYPE OR PRINT CLIENT NAME)
 (SIGNATURE OF CLIENT)
Date:
(TYPE OR PRINT ATTORNEY NAME)
Page 1 of 1
(SIGNATURE OF ATTORNEY)

Retrieval chunks

• #1

  Form ID: ADR-200 Title: Mediation Disclosure Notification and Acknowledgement Effective Date: 2020-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/ADR-200 Primary Download URL: https://www.courts.ca.gov/documents/adr200.pdf Form Detail Page: Mediation Disclosure Notification and Ackn…

• #2

  because of something that happens during the mediation. I, [Name of Client], understand that, unless all participants agree otherwise, no oral or written communication made during a mediation, or in preparation for a mediation, including communications between me and my attorney, can be used as evidence in any su…