SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES (ADR.020) Page 1 of 2 (A.D. 1-1-1) Optional STIPULATION TO PARTICIPATE IN ALTERNATIVE DISPUTE RESOLUTION (ADR) ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) : TELEPHONE: FAX NO. (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE Butte County Courthouse North Butte County Courthouse One Court Street, Oroville, CA 95965 1775 Concord Avenue, Chico, CA 95928 (530) 532 - 7002 (530) 532 - 7002 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER: STIPULATION TO PARTICIPATE IN ALTERNATIVE DISPUTE RESOLUTION (ADR) CASE NUMBER: ALTERNATIVE DISPUTE RESOLUTION PROCESS The undersigned parties stipulate to participate in Alternative Dispute Resolution (ADR) in the above-entitled action, as follows: Mediation panel will provide up to three (3) hours of mediation free of charge) between the parties and the mediator and will be the responsibility of the parties) Private mediator chosen by the parties not on Court panel. Mediator Name: Non-Binding Arbitration Binding Arbitration Arbitrator chosen by the parties from the Court panel. (Pursuant to Local Rule 6.8, parties will receive up to three hours of arbitration hearing time free of charge. Compensation for additional hours will be negotiated between the parties and the arbitrator and will be the responsibility of the parties) Private arbitrator chosen by the parties not on Court panel Arbitrator Name: DATED: Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Additional Signature(s) on reverse American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES (ADR.020) Page 2 of 2 (A.D. 1-1-1) Optional STIPULATION TO PARTICIPATE IN ALTERNATIVE DISPUTE RESOLUTION (ADR) Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant Name of Stipulating Party Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Defendant Cross-defendant American LegalNet, Inc. www.FormsWorkFlow.com