Stipulation And Order To Mediation
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3ATTORNEY OR PARTY WITHOUT ATTORNEY
FOR COURT USE ONLY
(NAME, STATE BAR # AND ADDRESS):
TELEPHONE NO.
FAX NO. (Optional)
EMAIL ADDRESS (Optional)
ATTORNEY FOR (NAME):
Superior Court of California, County of Sacramento
720 Ninth Street, Room 101
Sacramento, CA 95814-1380
(916) 874-5522—Website
PLAINTIFF/PETITIONER:
CASE MANAGEMENT CONFERENCE
DATE:
DEFENDANT/RESPONDENT:
CASE NUMBER:
STIPULATION AND ORDER TO MEDIATION – UNLIMITED CIVIL
ASSIGNED DEPT.:
The parties and their attorneys stipulate that the claims in this action shall be submitted to the following mediation process:
Type of Mediation (select one):
1. Court Mediation.
Mediators on the court’s approved ADR Panel List have agreed to provide up to three (3) hours of pro-bono
Mediation. In the event the Mediation extends beyond 3 hours and parties determine it would be beneficial to continue the Mediation process: the
parties will independently be responsible for compensating the Mediator in an amount as set by the Mediator.
2. Court Mediation in lieu of previously ordered Arbitration.
Mediator’s on the court’s approved ADR Panel List have
agreed to provide up to three (3) hours of pro-bono Mediation. In the event the Mediation extends beyond 3 hours and parties determine it would
be beneficial to continue the Mediation process: the parties will independently be responsible for compensating the Mediator in an amount as set
by the Mediator.
3. Private Mediation.
Per Local Rule 2.84 the cost of mediation must be borne by the parties equally unless the parties agree
otherwise. Parties will be charged an amount as set by the Mediator.
4. Private Mediation in lieu of previously ordered Arbitration.
Per Local Rule 2.84 the cost of mediation must be borne
by the parties equally unless the parties agree otherwise. Parties will be charged an amount as set by the Mediator.
Neutral
Court Neutral Selected:
Name
___________________________________________________________
(If type of Mediation selected above is option 1 or 2)
Alternate Court Neutral Selected:
Name
___________________________________________________________
(If type of Mediation selected above is option 1 or 2)
Alternate Court Neutral Selected:
Name
___________________________________________________________
(If type of Mediation selected above is option 1 or 2)
Private Neutral Selected:
Name
___________________________________________________________
(If type of Mediation selected above is option 3 or 4)
Other Stipulations
Discovery to remain open 30 days prior to trial.
Additional Stipulations:
_____________________________________________________________________________________
______________________________________________________________________________________________________________
Stipulation and Order to Mediation – Unlimited Civil
Page 1 of 3
CV\E–MED–179 (Rev 01.01.14)
Local Form Adopted for Mandatory Use
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