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