COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar REPORT OF ADR PROGRAM SPECIALIST TO THE No. COURT : JUDICIAL SUBPOENA Plaintiff(s) ___ Additional session of mediation scheduled for (date) ____________________. Request continuance in ADR Program for additional thirty (30) days. -against: : ___ One or both parties have not been compliant with order to mediate. Case management conference should be scheduled. : ___ One or both parties have not been compliant. Request additional 30 days in ADR Program Defendant(s) : to .obtain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . compliance. ___ An agreement has been reached. Case management conference should be scheduled. THE PEOPLE OF THE not been reached and ___ An agreement hasSTATE OF NEW YORK further efforts at mediation are not likely to be beneficial. Case management conference should be scheduled. TO Signature: ________________________________ Date: ________________________ GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com 1/11/2005