Stipulation Re Fee For Service
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Stipulation Re Fee For Service Form. This is a California form and can be use in Los Angeles Local County.
Loading PDF...
Tags: Stipulation Re Fee For Service, ADR 037, California Local County, Los Angeles
Reserved for Clerkâs File Stamp
STATE BAR NUMBER
NEUTRAL NAME, ADDRESS, TELEPHONE, FAX AND EMAIL:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
Click on the button to select the appropriate court address.
PLAINTIFF:
DEFENDANT:
CASE NUMBER:
STIPULATION RE FEE FOR SERVICE
Pursuant to the Court Alternative Dispute Resolution policy regarding the payment of fees to Neutrals, we the
undersigned hereby stipulate that __________________________________________, neutral in the above(NAME OF NEUTRAL)
entitled action, may continue to act in his/her capacity as
Mediator
Evaluator at the rate of $__________
per hour.
Dated: __________________________
..................................................
__________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR PLAINTIFF)
..................................................
__________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR DEFENDANT)
..................................................
__________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR
__________________________________)
..................................................
__________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY FOR
__________________________________)
..................................................
__________________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE OF NEUTRAL)
ADR 037 10-03
LASC Approved
(Rev. 03-06)
STIPULATION RE FEE FOR SERVICE
American LegalNet, Inc.
www.USCourtForms.com
