Civil Stipulation And Order To Adr Form And Instructions - San Mateo Page 2
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1
2Attorney or Party without Attorney (Name, Address, Telephone, Fax,
Court Use Only
State Bar membership number):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO
Hall of Justice and Records
400 County Center
Redwood City, CA 94063-1655 (650) 6 - 1
Plaintiff(s):
Case number:
Defendant(s):
Current CMC Date:
STIPULATION AND ORDER TO APPROPRIATE DISPUTE RESOLUTION
Plaintiff will file this stipulation with the Clerk’s Office 10 days prior to or 3 weeks following the first
Case Management Conference unless directed otherwise by the Court and ADR Director [Local Rule
2.3(i)(3)]. Please attach a Service List.
The parties hereby stipulate that all claims in this action shall be submitted to (select one):
Voluntary Mediation
Binding Arbitration (private)
Neutral Evaluation
Settlement Conference (private)
Non-Binding Judicial Arbitration CCP 1141.12
Summary Jury Trial
Other: _______
Case Type: __________________________________
Neutral’s name and telephone number: ___________________________Date of session: _________
(Required for continuance of CMC except for non-binding judicial arbitration)
Identify by name the parties to attend ADR session: _______________________________________________
_________________________________________________________________________________________
Original Signatures
________________________________________
______________________________________
Type or print name of
Party without attorney
Attorney for
(Signature)
Plaintiff/Petitioner
Defendant/Respondent/Contestant
Attorney or Party without attorney
________________________________________
______________________________________
Type or print name of
Party without attorney
Attorney for
(Signature)
Plaintiff/Petitioner
Defendant/Respondent/Contestant
Attorney or Party without attorney
________________________________________
______________________________________
Type or print name of
Party without attorney
Attorney for
(Signature)
Plaintiff/Petitioner
Defendant/Respondent/Contestant
Attorney or Party without attorney
________________________________________
______________________________________
Type or print name of
Party without attorney
Attorney for
(Signature)
Plaintiff/Petitioner
Defendant/Respondent/Contestant
Attorney or Party without attorney
IT IS SO ORDERED:
_______________________________________________
Date:
Judge of the Superior Court of San Mateo County
Form ADR-CV-1 [Rev. Feb. 2014]
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