REQUEST FOR ASSIGNMENT OF DISCOVERY FACILITATOR Case Name: Case Number: ____________________________________________________________ ________________________ Plaintiff/defendant ____________________________________________ hereby requests assignment of a Discovery Facilitator. Plaintiff/defendant intends to file a motion regarding the following type(s) of discovery: Form interrogatories Special Interrogatories Requests for Admissions Inspection Demands Deposition Questions Subpoenas Duces Tecum Medical or Mental Health Examinations For issue or evidentiary sanctions Other (describe) __________________________________________________________ The deadline for filing the motion is _____________________ . The party(ies) against whom this motion will be brought are: _____________________________________________________________________________ (Names of Parties) A service list for this motion is attached or is as follows (set forth each attorney's or selfrepresented party's name, fax and email, and party represented): Name: ______________________________ Fax number: _________________________ Email _______________________________ Name: ______________________________ Fax number: _________________________ Email _______________________________ Name: ______________________________ Fax number: _________________________ Email _______________________________ Name: ______________________________ Fax number: _________________________ Email _______________________________ Dated: __________________ ______________________________________ (Print name) Attorney for Plaintiff/Defendant ______________________________________ Email address American LegalNet, Inc. www.FormsWorkFlow.com ADR-610 Rev. 6/28/13