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Sample Intake Sheets

Since most ADR programs do not receive the EEO file for cases that they have accepted for ADR, they must rely on intake sheets to compile important information about the case, including the names, addresses, and telephone numbers of the parties, the issues in dispute, the dates that the parties are available to meet, and other vital data.

Here are sample intake sheets from the following agencies:

Department of the Air Force Intake Sheet
U.S. Postal Service Intake Sheet

Sample Intake Sheets

U.S. Equal Employment Opportunity Commission

EEOC Headquarters

Breadcrumb

Sample Intake Sheets