Form Ri-Adr02 - Response To Notice Of Court-Ordered Mediation (Local Rule 3273)
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1
2SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE
BLYTHE 265 N. Broadway, Blythe, CA 92225
PALM SPRINGS 3255 E. Tahquitz Canyon Way, Palm Springs, CA 92262
MURRIETA 30755-D Auld Rd, Murrieta, CA 92563
RIVERSIDE 4050 Main St, Riverside, CA 92501
RI-ADR02
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number and address)
FOR COURT USE ONLY
Telephone No:
Fax No. (Optional):
E-Mail address (Optional):
Attorney for (Name):
PLAINTIFF:
CASE NUMBER:
DEFENDANT:
MEDIATION COMPLETION DATE:
RESPONSE TO NOTICE OF COURT-ORDERED MEDIATION
(Local Rule 3273)
This form must be filed and served with a proof of service on all parties and on any mediators named in 1 within fifteen
(15) days of the date stated on the “Notice of Court-Ordered Mediation,” or the Civil Mediation Panel member listed on
the Notice of Court-Ordered Mediation will be assigned to your case.
To select a Civil Mediation Panel member go to
or to the civil
clerk’s office attorney window.
1.
Parties Stipulate to a Mediator
The parties agree that ______________________ may serve as their mediator. The mediator the parties
is not listed on the court’s panel as a mediator.
stipulate to
is
Do not submit this form unless the plaintiff or defendant has completed and initiated the following:
____ Plaintiff or ____ Defendant has given this mediator the “Notice of Court-Ordered Mediation” AND
____ Plaintiff or ____ Defendant has confirmed that this mediator will accept this case AND
____ Plaintiff or ____ Defendant has served this form on this mediator.
2.
The plaintiff will notify the mediator of the proposed location and 3 mediation dates/times that are
acceptable to all parties. Parties who fail to complete mediation by the completion date or who fail to appear
at a scheduled mediation session are subject to an Order to Show Cause (OSC) and sanctions.
Names and signatures of stipulating parties are as follows:
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PARTY OR ATTORNEY)
(TYPE OR PRINT NAME)
(SIGNATURE OF PARTY OR ATTORNEY)
(TYPE OR PRINT NAME)
(SIGNATURE OF PARTY OR ATTORNEY)
(TYPE OR PRINT NAME)
(SIGNATURE OF PARTY OR ATTORNEY)
Information and forms are posted on the ADR website:
Page 1 of 2
Adopted for Mandatory Use
Local Rule 3273
RESPONSE TO NOTICE OF COURT-ORDERED
Riverside Superior Court
riverside.courts.ca.gov/localfrms/localfrms.shtml
MEDIATION
RI-ADR02 [Rev. 07/01/15]
Local Rule 3273
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