ADR PANEL MEMBER: (Name and Address): FOR COURT USE ONLY TELEPHONE NO: E-MAIL ADDRESS (Optional): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CASE NAME: P.O. BOX 911 MARTINEZ, CA 94553 MARTINEZ CASE NUMBER: NEUTRAL CASE EVALUATION CONFERENCE REPORT 1. Neutral Case Evaluation (check one) a. did not take place. b. settled before. c. switched to another ADR process. d. took place on (date or dates): _______________________ and lasted a total of ________ hours. 2. Neutral Case Evaluation follow-up session(s) continuing. I will send a final Neutral Case Evaluation Conference Report after Evaluation ends, or before the court-ordered ADR completion deadline. If an extension of the completion deadline is needed, I will inform the parties that they must contact the court. Date: ___________________ _______________________________________________ (TYPE OR PRINT NAME) ______________________________________________ (SIGNATURE OF EVALUATOR) NOTE: Within 10 days of the end of the Evaluation Conference or by the ADR completion deadline set by the court, the Evaluator must forward a copy of this report to the Alternative Dispute Resolution Programs department. PLEASE DO NOT INCLUDE ANY CONFIDENTIAL INFORMATION ON THIS FORM. Complete this form and email to adrweb@contracosta.courts.ca.gov , Fax (925) 957-5689 or mail: ADR Program, P.O. BOX 911, Martinez, CA 94553 NEUTRAL CASE EVALUATION REPORT ADR-505 Rev. 8/2/16 American LegalNet, Inc. www.FormsWorkFlow.com