ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO:
For Court Use Only
__
ATTORNEY FOR: (Name)
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: Same CITY AND ZIP CODE: Sacramento, CA 95826 PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
RESPONSE TO THE PETITION FOR PRIVATE MEDIATION
CASE NUMBER:
1. I object to the Petition for Private Mediation filed on ___________________ for the following reasons: Explanation: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ____________________________________________________________________________________ 2. I agree to private mediation, however I request that one of the following alternative private mediators be appointed:
__________________________________
___________________________________
3. I agree to pay _______ % of the cost of private mediation services including preparation of report .
I declare under the penalty of perjury under the laws of the State of California that the foregoing information is true and correct.
Date: _____/_____/_____
_________________________________________ Signature of Declarant
NOTICE: This document must be filed with the Court no later than five (5) days from the date of service of the Petition for Private Mediation, if service is by mail only, time for serving the Response is extended 5 days in order to be considered by the Court.
FL/E-LP-602 (Rev. 1/29/2009)
Response to the Petition for Private Mediation
Page 1 Local Rule 14.08.01 (a)(3)