Free Stipulation and Order to Participate in Alternate Dispute Resolution - California

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): COURT USE ONLY

TELEPHONE NO.: EMAIL ADDRESS (Optional): ATTORNEY FOR (Name):

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN JOAQUIN LODI Branch 315 W. Elm St. Lodi, CA 95240 MANTECA Branch 315 E. Center St. Manteca, CA 95336 TRACY Branch th 475 E. 10 St. Tracy, CA 95376 STOCKTON Branch 222 E. Weber Ave. Stockton, CA 95202

Plaintiff(s)/Petitioner(s): Defendant(s)/Respondent(s):
.

CASE NUMBER:

STIPULATION AND ORDER TO PARTICIPATE IN ALTERNATIVE DISPUTE RESOLUTION (ADR)
Pursuant to California Rules of Court §3.726 the parties stipulate that all claims pursuant in this action shall be submitted to (select one): Voluntary Mediation Non-Binding Judicial Arbitration CCP 1141.12 Binding Arbitration (private) Other (specify): _____________________________________________ _____________________________________________

Case Type: __________________________________________ Is the Neutral you selected listed on the Court's Panel of Mediators? Yes No

Neutral's name and telephone number: ____________________________________/(_______)__________________ Date/Time of ADR Session: ____________/________a.m./p.m. Location of ADR Session:_____________________

Identify by name ALL individuals (litigants and attorneys) who will attend the ADR session: _________________________________________________________________________________________________ _________________________________________________________________________________________________
Attorneys signing on behalf of their client(s) have been given the authority to stipulate to ADR. Original signatures required.

_____________________________________________
Type or print name of Party without attorney Plaintiff/Petitioner Defendant/Respondent Attorney for

______________________________________
(Signature) Attorney or Party without attorney

_____________________________________________
Type or print name of Party without attorney Plaintiff/Petitioner Defendant/Respondent Attorney for

______________________________________
(Signature) Attorney or Party without attorney

_____________________________________________
Type or print name of Party without attorney Plaintiff/Petitioner Defendant/Respondent Attorney for

______________________________________
(Signature) Attorney or Party without attorney

_____________________________________________
Type or print name of Party without attorney Plaintiff/Petitioner Defendant/Respondent Attorney for

______________________________________
(Signature) Attorney or Party without attorney

IT IS SO ORDERED: Dated:________________

_________________________________________________ Judge of the Superior Court

An ADR Review Hearing is scheduled for __________________at __________a.m/p.m. in Dept. No. ________. In the event that the case is resolved and a dismissal-entire action, a notice of settlement or judgment is on file 5 days before the hearing, the ADR Hearing will be dropped and all appearances will be excused.
STIPULATION AND ORDER TO PARTICIPATE IN ALTERNATIVE DISPUTE RESOLUTION (ADR) Sup Crt 441 (6/09)