All Mediator / Arbitrator Forms

New Applicant Forms

For more information about the New Applicant Forms, visit the New Applicants to the Roster page.

  • Mediation Main Roster Application - PDF
  • Divorce Roster Application - PDF
  • Arbitrator Application - PDF


Current ADR Roster Provider Forms

For more information about the Current ADR Roster Provider Forms, visit the Current ADR Roster Providers page.

  • Domestic Mentor List - PDF
  • Divorce Roster Application - PDF
  • Master Mediator Application - PDF
  • Domestic Mentor Application - PDF
  • Domestic Violence Expertise Application - PDF


Send completed applications with all attachments to:

Nini Rich, ADR Director
Administrative Office of the Courts
PO Box 140241
Salt Lake City UT 84114-0241

Please note, we process applications monthly. After we receive your paperwork and it is approved, the ADR office will send you the information needed to complete the Ethical Exam online, as well as a form to authorize a criminal background investigation. You will not be added to the Roster until you have successfully completed the Ethical Exam and passed the criminal background check.

If you have further questions, please visit the Frequently Asked Questions section.