ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
FOR COURT USE ONLY
TELEPHONE NO: ATTORNEY FOR (Name):
FAX NO:
SUPERIOR COURT OF CALIFORNIA · COUNTY OF FRESNO 2317 Tuolumne Street Fresno, California 93721-1220 (559) 497-4195
PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER:
ALTERNATIVE DISPUTE RESOLUTION STATUS REPORT (ADR)
Type of Civil Case: Personal Injury Property Damage/Auto Date Complaint Filed: Amount in controversy: $0 to $25,000 $25,000 to $50,000
Personal Injury Property Damage
Contract
Other
$50,000 to $100,000
Over $100,000.00 (specify)
Date of Alternative Dispute Resolution (ADR) Conference: Name, address, and telephone number of person who conducted the Alternative Dispute Resolution (ADR) Conference:
Case resolved by Alternative Dispute Resolution: Yes No (proper filing of a Notice of Settlement or Dismissal form is required by clerk's office) Reason:
Alternative Dispute Resolution process concluded: Yes No Reason for delay: Next scheduled hearing date:
Type of resolution process used: Mediation Arbitration Neutral Case Evaluation Case was resolved by: Direct Result of ADR Process
Other (specify):
Indirect Result of ADR Process
Resolution was unrelated to ADR Process
If case went through ADR and resolved, estimate the closest dollar amount that was saved in attorney fees and/or expert witness fees by participating in the process. $0 $250 $500 $750 $1,000 More than $1,000 (specify) If case went through ADR and did not resolve, estimate the closest dollar amount of additional costs incurred due to participation in the ADR process. $0 $250 $500 $750 $1,000 More than $1,000 (specify)
TADR-03 E12-05
ALTERNATIVE DISPUTE RESOLUTION STATUS REPORT (ADR)
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Case Number: Check the closest estimated number of court days you saved in motions, hearings, conferences, trials, etc. as a direct result of this case being referred to this dispute resolution process: 0 Days 1 Day More than 1 day (specify)
If the dispute resolution process caused an increase in court time for this case, please check the estimated number of additional court days: 0 Days 1 Day More than 1 day (specify)
I would be willing to use the dispute resolution process again: Yes No
Please provide any additional comments below regarding your experience with the ADR process:
TADR-03 E12-05
ALTERNATIVE DISPUTE RESOLUTION STATUS REPORT (ADR)
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