Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
ALTERNATIVE DISPUTE RESOLUTION PARTICIPATION AGREEMENT
By participating in this process, I acknowledge that:
1. I agree to participate in this Alternative Dispute Resolution (“ADR”) process in good faith. I affirm
my willingness to speak honestly and disclose information important to bringing this matter to a
meaningful outcome.
2. I understand that although I agree to participate in the ADR process in good faith, I am not
required to settle my case during the process.
3. I understand that the ADR Professional is an impartial person whose role is to provide us with
useful information and/or to help us reach an agreement that is fair to all, without making the
decisions for us.
4. I understand that the ADR Professional is not providing me with legal advice or counseling
services and although it is not required, I understand that it is recommended that I consult an
attorney prior to signing any settlement agreement.
5. I understand that I will receive approximately seven (7) hours of ADR services, to include both
ADR sessions and administrative tasks as determined necessary by the ADR Professional. I also
understand that I may receive more than seven (7) hours of ADR services if so ordered by the
court, or by agreement with the ADR Professional.
6. I understand that, except as otherwise required by law or rule, everything said or written during the
ADR process is confidential. The parties and the ADR Professional will hold confidential the
written and oral communications that occur prior to, during, or after the ADR process.
7. I understand that I will not be able to subpoena the ADR Professional as a witness in, or request
the ADR Professional’s records for, any court, legal or administrative proceeding arising from the
ADR process and I understand that the ADR professional will destroy any notes taken before or
during the ADR process.
8. I acknowledge that if settlement is reached through the ADR process, any signed agreement
generated by the process shall be legally binding and may be enforced by the court.
Date
Petitioner
Attorney for Petitioner (if present)
Date
Respondent
Attorney for Respondent (if present)
Date
ADR Professional
NHJB-2988-F (0301/2016)
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