FORMS / Register and Statement Format
SL.NO.FORMS/ Register and Statement Format 
1 Application Form for Legal Aid.(English) Download
2 Application Form for Legal Aid (Hindi) Download
3 Register and Statement Format in DLSA / Mediation Centre Download
4 Register to be maintained in the office of the Coordinator/ Chairman/ Secretary, DLSA for the cases referred from Courts Download
5 Register to be maintained in the office of the Coordinator/ Chairman/ Secretary,DLSA for Pre-litigation Cases Download
6 Register to be maintained in Mediation Centre for the cases referred from the Courts Download
7 Register to be maintained in Mediation Centre for Pre- litigation cases Download
8 Register of Mediators to be Maintained in DLSA & Mediation Center Download
9 Mediation Register to be maintained in the Referral Court Download
10 Form for monthly statement to be furnished by DLSA to BSLSA monthly Download
11 Form for monthly statement of cases referred to deferent ADR forums u/s 89 C.P.C. and settled. (The statement should be furnished by the Courts to DLSA and the DLSA will send the consolidated statement to BSLSA in the same format.) Download
12 Mediation case information form(to be filled by the Mediator of the case) Download
13 Memorandum of settlement (terms shall be recorded by the Mediator and signed by the parties & their advocates) Download
14 Interim mediation accountability sheet (to be filed by mediator during mediation) Download
15 Questionnaire for measuring effectiveness and quality of mediation(to be filed by the parties when all mediation efforts are complicated) Download
16 Format of referral order for referral Judges Download