ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, & Address) FOR COURT USE ONLY TELEPHONE NUMBER: ATTORNEY FOR (Name): FAX NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF MARIPOSA 5088 Bullion Street P.O. Box 28 Mariposa, CA 95338 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: STIPULATION REGARDING ALTERNATIVE DISPUTE RESOLUTION (ADR) CASE NUMBER: The parties stipulate that they will engage in the following Alternative Dispute Resolution (ADR) process: [ ] Mediation [ ] Arbitration [ ] Neutral Case Evaluation [ ] Other ____________________________________________ The parties further stipulate that _________________________________________ has been selected as the Mediator/Arbitrator/neutral. Address: City, State, Zip Phone Number: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ The parties acknowledge that they shall engage in some form of Alternative Dispute Resolution (ADR). The Alternative Dispute Resolution (ADR) must be completed within 180 days after the Case Management Conference or prior to the Mandatory Settlement Conference, whichever is earlier, unless given prior approval by the court to continue the date. Parties will be required to file an Alternative Dispute Resolution (ADR) Status Report at least 10 court days prior to the Mandatory Settlement Conference. Failure to do so may result in sanctions at an Order to Show Cause (OSC) hearing set by the court. _________________ Date ____________________________ Type or Print Name __________________________________________ Signature of Party or Attorney for Party __________________ Date _______________________________ Type or Print Name __________________________________________ Signature of Party or Attorney for Party __________________ Date _______________________________ Type or Print Name __________________________________________ Signature of Party or Attorney for Party __________________ Date _______________________________ Type or Print Name __________________________________________ Signature of Party or Attorney for Party __________________ Date _______________________________ Type or Print Name __________________________________________ Signature of Party or Attorney for Party __________________ Date _______________________________ Type or Print Name __________________________________________ Signature of Party or Attorney for Party [ ] Additional signatures on Stipulation Regarding Alternative Dispute Resolution (ADR) Attachment STIPULATION REGARDING ALTERNATIVE DISPUTE RESOLUTION (ADR) Local Form CV-11-002 American LegalNet, Inc. www.FormsWorkFlow.com