SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE FOR COURT USE ONLY JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Civil Complex Center - 751 W. Santa Ana Blvd., Santa Ana, CA 92701-4512 Harbor ­ Newport Beach Facility ­ 4601 Jamboree Rd., Newport Beach, CA 92660-2595 North ­ 1275 N. Berkeley Ave., P.O. Box 5000, Fullerton, CA 92838-0500 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: ALTERNATIVE DISPUTE RESOLUTION (ADR) NEUTRAL SELECTION AND PARTY LIST Arbitration Mediation Neutral Evaluation CASE NUMBER: (ATTACH THIS FORM TO FORM L-1270, ALTERNATIVE DISPUTE RESOLUTION (ADR) STIPULATION, AND FILE IT WITH THE COURT.) ADR NEUTRAL SELECTION For Arbitration, parties may select a Neutral and Alternate or may have a Neutral randomly assigned from the Court's Panel. For Mediation and Neutral Evaluation, parties must select a Neutral and an Alternate below. For Arbitration, please check this box to have an arbitrator assigned at random. The parties select the following Neutral and Alternate from the Court ADR Panel: Neutral: Alternate: ___ The above named Neutral will be notified by a Notice of Assignment of ADR Neutral that he or she has been selected as the neutral in this proceeding. I n the event the neutral does not accept the assignment, a n ew Notice of Assignment of ADR Neutral will be s ent to the above named Alternate. T he assignment of the Alternate to serve as the Neutral does not extend the time to complete the ADR process. Adopted for Mandatory Use L2748 (Rev. 4-14) ALTERNATIVE DISPUTE RESOLUTION (ADR) NEUTRAL SELECTION AND PARTY LIST www.occourts.org American LegalNet, Inc. www.FormsWorkFlow.com Short Title: Case Number: PARTY LIST (Including Affiliates) The parties agree that the ADR Session may be conducted on one of the following dates: 1. 2 3. 4. Attorney and Firm Name: Mailing Address: Area Code and Telephone Number: Attorney for: Attorney and Firm Name: Mailing Address: Area Code and Telephone Number: Attorney for: Attorney and Firm Name: Mailing Address: Area Code and Telephone Number: Attorney for: Attorney and Firm Name: Mailing Address: Area Code and Telephone Number: Attorney for: This Party List must also include the full names, addresses, and phone numbers of corporate parties' parent and subsidiary corporations, and of all insurance carriers. C ounsel must immediately notify the neutral upon discovery if any attorney or self-represented party is not listed on this Party List Form. Attach additional copies of this page if necessary to include additional parties, affiliated entities or insurance carriers. City Fax ZIP City Fax ZIP City Fax ZIP City Fax _____________________________ ZIP Adopted for Mandatory Use L2748 (Rev. July 2013) ALTERNATIVE DISPUTE RESOLUTION (ADR) NEUTRAL SELECTION AND PARTY LIST www.occourts.org American LegalNet, Inc. www.FormsWorkFlow.com