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Forms

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Formsjuliana2024-10-18T09:25:18-04:00
You can view and download model & miscellaneous forms by clicking on any of the items below.
Looking for something that is not here? Let us know by emailing gaodr@georgiacourts.gov.

Available Model Forms:

  • Model Agreement to Mediate (Juvenile Court)
  • Model Delinquency-CHINS Mediation Agreement
  • Model Dependency Mediation Agreement
  • Parenting Plan Form
  • Video Mediation: A Guide for Mediators
  • Video Mediation: A Guide for Parties & Attorneys
  • Arbitraje por Video – Una Guia para Abogados y para Participantes
  • Video Mediation – Sample Mediation Notice Template
  • Video Mediation – Sample Mediation Guidelines Template

DV Screening Forms:

  • DV Screening Packet – Mediators Registered in Domestic Relations (no SDV)

  • DV Screening Packet – Mediators Registered in Specialized Domestic Violence

  • Domestic Relations Screening Form (Tier I) – Parties

  • Domestic Relations Screening Form (Tier II) – Parties

  • Domestic Relations Screening Form (Tier II) – Mediator

Neutral Registration Forms

  • New Neutral Application Checklist (Pre-Approved Training)
  • Affidavit of Lawful Presence

  • Consent for Release of Information Form (Background Check)

  • Observation & Co-Mediation Reporting Form

  • Secure & Verifiable Doc List
  • Fee Schedule

  • Affidavit of Removal of Registration Category or Deregistration

  • Continuing Education Video Reporting Form (standard version)

  • Continuing Education Video Reporting Form (fillable version)
  • Volunteer Affidavit – 2023 Registration Renewal

  • Ethics Examination for Mediators (for non-approved trainings)

  • Resources
    • Publications
    • Forms
    • Self-Help Resources
    • Virtual ADR
    • Court Case & Case Law
    • Domestic Violence Support
    • ADR Organizations
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