For Order Appointing Referee

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ADR-109
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
To keep other people from
seeing what you entered
on your form, please
press the Clear This Form
TELEPHONE NO.:
FAX NO. (Optional):
button at the end of the
E-MAIL ADDRESS (Optional):
form when finished.
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CASE NUMBER:
STIPULATION
MOTION
FOR ORDER APPOINTING REFEREE
1. Applicant. The following parties apply for appointment of a referee (name each applicant):
2. Statutory ground for appointment.
Section 638. Appointment of the referee is requested under Code of Civil Procedure section 638 because (check one):
a.
(1)
all parties to the action have agreed to the appointment of a referee under section 638.
the parties entered into a written contract or lease that provides that any controversy arising from it shall be
(2)
heard by a referee, as follows (identify agreement and state provision for appointment of referee below or in
Attachment 2a):
b.
Section 639. Appointment of the referee is requested under Code of Civil Procedure section 639 because (check and
complete (1) or (2)):
(1)
Discovery reference. It is necessary for the court to appoint a referee to hear and determine any and all
discovery motions and disputes relevant to discovery in the action and to report findings and make a
recommendation thereon. (Code Civ. Proc., § 639(a)(5). State the exceptional circumstances specific to the
particular case that require the discovery reference, below or in Attachment 2b(1).)
Other reference. (Check one or more of the following statutory grounds and state the reason the appointment
(2)
is requested, below or in Attachment 2b(2).)
The trial of an issue of fact requires the examination of a long account. (Code Civ. Proc.,
(a)
§ 639(a)(1).)
The taking of an account is necessary for the information of the court before judgment, or for
(b)
carrying a judgment or order into effect. (Code Civ. Proc., § 639(a)(2).)
A question of fact, other than upon the pleadings, has arisen by motion or otherwise. (Code Civ.
(c)
Proc., § 639(a)(3).)
(d)
It is necessary for the information of the court in a special proceeding. (Code Civ. Proc.,
§ 639(a)(4).)
3. Referee. Applicant requests appointment of the following person as referee:
a. Name:
b. Business address:
c. Telephone number:
The proposed referee is an active or inactive member of the State Bar. (A proposed referee who is a former
d.
California judicial officer must also be an active or inactive member of the State Bar.) The proposed
referee's State Bar number is:
Page 1 of 2
Form Approved for Optional Use
STIPULATION OR MOTION FOR ORDER APPOINTING
Code of Civil Procedure, § 638 et seq.;
Judicial Council of California
Cal. Rules of Court, rules 3.900–3.910,
REFEREE
ADR-109 [Rev. January 1, 2007]
3.920–3.927
(Alternative Dispute Resolution)

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