Stipulation To Alternative Dispute Resolution

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THIS FORM MUST BE TYPEWRITTEN OR PRINTED
PR-E-LP-001
PARTY WITHOUT ATTORNEY OR ATTORNEY (Name, Address, Telephone
COURT USE ONLY
Number, and State Bar membership number):
To keep others from
reading what you
have entered click
on the CLEAR
FORM at the end of
FAX NO.:
PARTY WITHOUT ATTORNEY OR ATTORNEY FOR (Name):
the form when
finished.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO
Case number:
ESTATE OF(Name):
IN RE(Matter):
Decedent
Conservatee
Minor
Date:
[ ] STIPULATION TO ALTERNATIVE DISPUTE RESOLUTION
Time:
[ ] and to SELECT ADR PROVIDER
Dept:
The parties hereby stipulate that this action shall be submitted to:
Mediation
Early Neutral Evaluation
Non-Binding Arbitration
Binding Arbitration
Voluntary Settlement Conference
Other ________________________
and that ________________________________ shall be appointed as:
Mediator
Early Neutral Evaluation
Arbitrator
Settlement Conference "Judge"
Other _____________________
Date:_______________________
_________________________________________
Signature of Party
Date:_______________________
_________________________________________
Signature of Attorney for ___________________
Date:_______________________
_________________________________________
Signature of Party
Date:_______________________
_________________________________________
Signature of Attorney for ___________________
Signature(s) of additional party(ies) and attorneys on attachment(s).
So Ordered on ______________________________
______________________________
CLEAR FORM
Date
Judge
PRINT
PR-E-LP-001 STIPULATION TO ALTERNATIVE DISPUTE RESOLUTION and to ADR PROVIDER
Revised 11/21/2007

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