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The document is a Certificate of Mediation/ADR Compliance from the District Court of Denver Juvenile Court, Colorado. It outlines the status of mediation related to a case involving marriage, civil union, or parental responsibilities. The report details whether mediation was ordered or voluntary, and provides options for reporting the outcomes of the mediation session, including fully resolved agreements, partially resolved issues, or no resolutions. Additionally, it includes a certificate of service section for filing and serving the document.

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Click ‘Get Form’ to open it in our editor.
Begin by filling out the court information at the top, including the court name and address. Ensure you select the appropriate type of case: Marriage, Civil Union, or Parental Responsibilities.
Enter the names of the Petitioner/Plaintiff(s) and Co-Petitioner/Respondent/Defendant(s) in their respective fields.
Complete the attorney or party information section with your name, address, phone number, email, and attorney registration number if applicable.
In the Certificate of Mediation section, indicate who is submitting the report and provide details about the mediation session date and mediator's name.
Select one of the options regarding mediation outcomes that best describes your situation. Make sure to check all relevant boxes.
Finally, sign and date the form at the bottom. If applicable, have your mediator sign as well before submitting.

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