ADR-102 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: REQUEST FOR TRIAL DE NOVO AFTER JUDICIAL ARBITRATION CASE NUMBER: NOTE: If you do not want the arbitrator's award to become the judgment in the case, you must file either a request for a trial de novo or a request for dismissal within 60 days after the arbitration award is filed with the clerk. If you do not request a trial de novo or dismissal by this deadline, the arbitrator's award will be final and it will be entered as the judgment in the case. The 60-day period cannot be extended (California Rules of Court, rule 3.826). Copies of the request for a trial de novo must be served on all parties and the request and a proof of service must be filed with the clerk. Plaintiff (name): Defendant Other (specify): requests trial de novo in this action, under Code of Civil Procedure, section 1141.20 and rule 3.826 of the California Rules of Court. Date: (TYPE OR PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY) Page 1 of 2 Form Approved for Optional Use Judicial Council of California ADR-102 [Rev. January 1, 2012] REQUEST FOR TRIAL DE NOVO AFTER JUDICIAL ARBITRATION (Alternative Dispute Resolution) Code of Civil Procedure, § 1141.20; Cal. Rules of Court, Rule 3.826 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com ADR-102 SHORT TITLE: CASE NUMBER: PROOF OF SERVICE Mail Personal Service 1. At the time of service I was at least 18 years of age and not a party to this legal action. 2. My residence or business address is (specify): 3. I mailed or personally delivered a copy of the Request for Trial De Novo After Judicial Arbitration as follows (complete either a or b): a. Mail. I am a resident of or employed in the county where the mailing occurred. (1) I enclosed a copy in an envelope and (a) deposited the sealed envelope with the United States Postal Service, with the postage fully prepaid. placed the envelope for collection and mailing on the date and at the place shown in items below, following (b) our ordinary business practices. I am readily familiar with this business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary court of business with the United States Postal Service, in a sealed envelope with postage fully prepaid. (2) The envelope was addressed and mailed as follows: (a) Name of person served: (b) Address on envelope: (c) Date of mailing: (d) Place of mailing (city and state): b. Personal delivery. I personally delivered a copy as follows: (1) Name of person served: (2) Address where delivered: (3) Date delivered: (4) Time delivered: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) ADR-102 [Rev. January 1, 2012] REQUEST FOR TRIAL DE NOVO AFTER JUDICIAL ARBITRATION (Alternative Dispute Resolution) Page 2 of 2