Free Complaint Against Neutral Civil Mediation Program (CV\E-MED-169) - California

SUPERIOR COURT

OF

CALIFORNIA

COUNTY OF SACRAMENTO 720 9TH STREET ~ ROOM 101 SACRAMENTO, CALIFORNIA, 95814 916-874-5522--WEBSITE WWW.SACCOURT.CA.GOV

COMPLAINT AGAINST NEUTRAL Civil Mediation Program
Date: ___________

Case Name: Neutral Name: Date of Mediation:

_________________________________________________________ _________________________________________________________ _________________________________________________________

Please provide complete details of your complaint (attach additional pages if necessary):

Your Name: Address: City, State, Zip: Telephone: E-mail:

_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

Please submit this form to the ADR Administrator, Gordon D. Schaber Sacramento County Courthouse, 720 Ninth Street, Room 101, Sacramento, California, 95814

Complaint Against Neutral CV\E­MED­169 (Rev 02.13.09) Page 1 of 1