Rev. 4 / 17 COURT OF APPEAL, SECOND APPELLATE DISTRICT Plaintiff(s) vs Defendant(s) CASE NUMBER: Notice of Appeal date: REQUEST FOR MEDIATION The Court of Appeal, Second Appellate District, provides parties the opportunity to participate in its voluntary Settlement Conference and Mediation Program. T o : If all parties agree, you may participate in an appellate mediation program administered by the Court of Appeal. Participation in the mediation program requires the agreement of all parties . Appellant shall contact all parties to the appeal to determine if the parties agree to participate in the mediation conference program. Record preparation will not be stayed during the pendency of the mediation program unless a stipulation signed by all the parties is filed with the Court of Appeal and order is granted. ALL PARTIES AGREE TO PARTICIPATE IN A MEDIATION CONFERENCE. Failure to participate in good faith may result in sanctions! Your case will be assigned to a mediator within two weeks. You MUST sign and return this form to the address below and include a Proof of Service of this form on all parties. Date: Attorney Signature Attorney Type or Print Name Name of Party Represented R eturn via e - mail to : 2d1.mediation@jud.ca.gov or via U.S. mail t o : Court of Appeal, Second Appellate District 300 S. Spring Street , 2nd Floor, N. Tower Los Angeles, CA 90013 Attn. Mediation American LegalNet, Inc. www.FormsWorkFlow.com