Please return your completed Facilitator's Outcome Report as well as the Certification of Facilitation Compliance no later than thirty (30) days following the date of the Order of Referral to Settlement Facilitation. The form should be mailed or delivered to the Alternative Dispute Resolution Program, Third Judicial District Court, 201 W. Picacho, Suite A, Las Cruces, New Mexico 88005.

Case name: ________________________________________________

Docket No.: _________________ Judge: ______________________

Facilitator's name: _______________________________________

OUTCOME OF SETTLEMENT CONFERENCE: (Please check one.)

[ ]    Case settled fully before settlement conference.

[ ]    Case settled fully during conference.

[ ]    Case settled in part during the conference

[ ]    Progress toward settlement was made during conference.

[ ]    No progress was made during the conference, but negotiations to continue.

[ ]    Conference not held yet; scheduled for ________________

[ ]    Conference canceled by the court.

[ ]    Conference not held or scheduled yet because of lack of cooperation by a party or attorney. In this case, please notify the judge hearing the case and the ADR office.

[ ]    Conference not held or scheduled for other reasons (describe)
    _________________________________________________
    _________________________________________________

In your opinion, did the parties participate in good faith? If no, please explain.

___________________________________________________________
___________________________________________________________

Other comments on reverse side.

                    ______________________________
                    Signature

[Approved, effective September 22, 1999.]