ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS):
TELEPHONE NO.:
FOR COURT USE ONLY
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER:
STIPULATION AND ORDER TO ALTERNATIVE DISPUTE RESOLUTION (ADR) PROCESS
ASSIGNED JUDGE:
MANDATORY SETTLEMENT CONFERENCE DATE (if applicable): _________________________________________ This fully executed stipulation must be returned to the CADRe office by: ______________________ (Fax 805-882-4613) 1. STIPULATION REGARDING ALTERNATIVE DISPUTE RESOLUTION: The parties hereby stipulate that all claims in this action shall be submitted to the following ADR process and the parties will appear at such hearing with persons having full authority to resolve the dispute pursuant to California Rules of Court, Rule 1634: a. Amount in Controversy is $50,000.00 or under: [ ] Judicial Non-binding Arbitration (CCP 1141.12) [ ] Limited Mediation with Mediator Assigned by the CADRe Office (CCP 1775) b. Amount in Controversy exceeds $50,000.00: [ ] Binding Arbitration [ ] CADRe Mediation [ ] Neutral Evaluation [ ] Special Master [ ] Other: ____________________________ 2. 3. 4. THE ADR PROCESS WILL BE CONDUCTED BY: Neutral's Name: ________________________________________ Phone:______________________________ THE MEDIATION (OR OTHER ADR PROCESS) WILL OCCUR ON (mm/dd/yy): _______________________ PARTY REPRESENTATIVES: X________________________________________ For Plaintiff: Name: ____________________________________ Address: __________________________________ City/St/Zip: ________________________________ Tel / Fax: _________________________________ E-Mail: ___________________________________ X__________________________________________ For Defendant: Name: ______________________________________ Address: ____________________________________ City/St/Zip: __________________________________ Tel / Fax: ___________________________________ E-Mail: _____________________________________
(If additional signatures are required, please attach an additional signature page)
IT IS SO ORDERED PURSUANT TO THE ABOVE STIPULATION: Date: ____________________
SC-2038 [Rev. Oct. 12, 2004]
____________________________________________ Judge of the Superior Court
STIPULATION AND ORDER TO ALTERNATIVE DISPUTE RESOLUTION (ADR) PROCESS
CRC 1634 CCP 1141.12, 1775
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