UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA ) ) ) ___________________________________ ) Debtor ) ) ___________________________________ ) Plaintiff ) ) vs. ) ) ____________________________________) Defendant ) ) ____________________________________) In Re: Bankruptcy No. ______________________ Adversary No. _______________________ 1. CERTIFICATE / REPORT OF CONFERENCE In accordance with BLR 9049-1 (b), I hereby certify that pursuant to an order of assignment by this Court to the Bankruptcy Dispute Resolution Program dated ______________, a BDRP Conference was ____ was not____ held. (If Applicable) Date: _______________________ Continued Date: ______________________ 2. The Rules governing the conference were ______ were not _______ complied with. If not, how? __________________________________________________________________ __________________________________________________________________ 3. A settlement of this matter was _____ was not ______ reached. 4. If a settlement/resolution was reached, ________________________ (plaintiff,defendant/other) prepared the written stipulation for settlement. American LegalNet, Inc. www.FormsWorkflow.com 5. Prior to the preparation of a final written agreement, the parties choose to put the agreement on the court record. 6. 7. 8. I spent ______ hours in preparing for and scheduling the conference(s). I spent ______ hours in attending the conference(s). The dispute resolution procedure utilized was (Check as many as applicable. If more than one is applicable, give the appropriate percentage of time spent on each.): Early Neutral Evaluation Settlement Negotiation Mediation Other ____________ ____________ ____________ ____________ 9.Comments/Suggestions:___________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ DATED: ____________________ ___________________________________ Resolution Advocate ____________________________________ (Type or Print Name) 2 Updated 1/1/2008 American LegalNet, Inc. www.FormsWorkflow.com