Mediator Background Information Form - Montana 2026

1. Click ‘Get Form’ to open the Mediator Background Information Form in the editor.
2. Begin by entering your name and occupation in the designated fields at the top of the form.
3. Fill in your firm or business name, mailing address, city, state, ZIP code, business phone number, fax number, and email address.
4. Indicate the categories of cases you can mediate by checking the appropriate boxes for Workers’ Compensation, Domestic Relations, and Money Judgments.
5. Estimate and enter what percentage of your practice over the last two years involved each case type in the corresponding fields.
6. Provide details about your academic/professional education or training by listing degrees, dates, and locations as required.
7. Describe any ADR training and memberships in professional organizations you have participated in within the last two years.
8. In the final section, attest to the accuracy of your information by signing and dating where indicated.

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