Free SACRAMENTO SUPERIOR COURT - California


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http://www.saccourt.ca.gov/forms/docs/cv-102.pdf

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SUPERIOR COURT OF CALIFORNIA County of Sacramento
720 Ninth Street ~ Room 101 Sacramento, CA 95814-1380 (916) 874-5522--Website saccourt.ca.gov

ARBITRATOR PANEL APPLICATION
Application Instructions: Please answer the following questions in the space provided and attach a copy of your Curriculum Vitae. Incomplete applications will be returned for further information. The Sacramento Superior Court Arbitration Committee reviews all applications. Please submit the completed form to: ARBITRATION UNIT Sacramento Superior Court 720 Ninth Street, Room 101 Sacramento, CA 95814
1. PERSONAL INFORMATION

Name: Firm Name: Address:

_________________________________________ _________________________________________ _________________________________________ _________________________________________

Telephone Number: Fax Number:

______________________ ______________________

2. EXPERIENCE

Date admitted to the California Bar:

______________________

Date and jurisdiction of Bar Memberships outside California:

______________________(jurisdiction) ______________________(date admitted)

Arbitrator Panel Application CV\E-ARB-102 (Rev 02.13.09) Page 1 of 3

Superior Court of California, County of Sacramento Arbitration

If any disciplinary action has been taken against you by the State Bar of California, please describe:

I have experience in litigating the following case types:
Auto/PI Discrimination Construction Law Probate Law Environment Law Product Liability Medical Malpractice Commercial Insurance Law Wrongful Termination Aviation Law Corporation/Partnership Professional Malpractice Bad Faith Real Estate Law Franchise Law Antitrust-Unfair Competition

Number of cases taken to trial:

___________________________

List panels, boards, or agencies to which you have been admitted to serve as an arbitrator, mediator, or other form of neutral.

Describe the training you have taken to enable you to perform in a neutral capacity.

Provide information on any professional organizations to which you belong, i.e., California Trials Lawyers, Sacramento Bar Association, etc. Also, please provide the categories that you have listed in Martindale Hubbell.

Arbitrator Panel Application CV\E-ARB-102 (Rev 02.13.09) Page 2 of 3

Superior Court of California, County of Sacramento Arbitration

List one judicial officer who is familiar with your work and who may be contacted if additional information is required. Please include address and telephone number: Name: Title: Court: Address: Telephone: ___________________________ ___________________________ ___________________________ ___________________________ ___________________________

I certify that all information requested has been supplied on this application, that it is correct, and that to the best of my knowledge I qualify for the position of Arbitrator for the Superior Court of California, County of Sacramento. If the State Bar of California hereafter takes any disciplinary action, I will immediately notify the Arbitration Administrator. Dated: ___________________ ________________________________ Signature

PLEASE ATTACH A COPY OF YOUR CIRRICULUM VITAE

Arbitrator Panel Application CV\E-ARB-102 (Rev 02.13.09) Page 3 of 3