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ADR-200Optional

Mediation Disclosure Notification and Acknowledgement

California · Judicial Council of California · Effective January 1, 2020

This form is a notice and agreement that an attorney gives to a client before mediation. It explains that things said or written during mediation are usually kept private and cannot be used as evidence in later court cases.

The court describes it as: Attorneys for clients who are participating in mediation or communicating with a mediator about participating give their clients this information about the confidentiality of mediation. Clients sign to say that they understand this information.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used by attorneys to give clients information about the privacy rules that apply during mediation. The client signs it to show they understand these rules.

Either party may file.

Common questions

Who fills out this form?
The attorney fills out the form and gives it to the client. The client signs it to show they understand the information.
What does this form say about what happens in mediation?
It explains that most conversations and offers made during mediation are confidential and cannot be used as evidence in later noncriminal legal actions.
Does signing this form mean the client cannot sue their attorney?
The form notes that signing this does not limit the attorney's potential liability for professional malpractice or stop the client from reporting misconduct to the State Bar of California.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2020.

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