Free TADR-03 Alternative Dispute Resolution Status Report (Adr) - California

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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