COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA : Name: Firm: Address: Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Subject: RIVERSIDE COUNTY ARBITRATION PANEL QUESTIONNAIRE Defendant(s) : ...................................................... In an effort to further improve the efficiency of California's Judicial Arbitration Program (CCP Section 1141.10, et seq.), the Riverside County Arbitration Administration Committee has designed this questionnaire to be completed by those attorneys who are interested in serving on the Riverside County Arbitration Panel. It will be kept on file at the Arbitration Desk and for THE PEOPLE OF THE STATE OF NEW YORK review in selection of arbitrators. If you are interested and desire your name to be considered for selection to the Arbitration Panel, please complete this questionnaire TO by providing the following information: A. Number of Years in Practice. (Must be admitted to practice for five years.) GREETINGS: B. Areas of WE COMMAND YOU, that Law in Which You Practice. all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court 1. If you please at County of are a general practitioner,located provide a breakdown of the types of cases you handle, the respective percentage of your practice each makes up, and the number of years you have, been engaged in such the in room , on the day of , 20 at o'clock in general practice. at any recessed noon, and or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Court in Witness, Honorable County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) 2. If you specialize, please explain the area or areas of law in which you practice, the respective percentage of your practice each specialty makes up, and the number of years you have specialized in each field. Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 07/01/2003 RIVERSIDE COUNTY ARBITRATION PANEL QUESTIONNAIRE American LegalNet, Inc. www.USCourtForms.com RI-028 COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : : 3. Practice devoted to plaintiff's work. Plaintiff(s) 4. Practice devoted to defense work. -against- C. Calendar No. JUDICIAL SUBPOENA ______% : Trial Experience. : 1. Jury cases tried (estimate). ______% : 2. Non-jury cases tried (estimate). Defendant(s) : ...................................................... D. Arbitration Experience. 1. PEOPLE cases in STATE participated as a litigator. THE Number of OF THEwhich you OF NEW YORK 2. Number of cases arbitrated in which you served as an arbitrator. TO E. Arbitrator Preference. 1. Types of case I prefer as an arbitrator: GREETINGS: q Commercial q PI q Either WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable willing to accept assignment of # at the Court 2. I would be located at County of cases per q year month q day of in room , on the , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Dated: (SIGNATURE) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Court in Witness, Honorable County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Please complete and return this form to: SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA Office and P.O. Address q BANNING 155 E. Hays, Banning, CA 92220 q BLYTHE 265 North Broadway, Blythe, CA 92225 q HEMET 880 N. State St., Hemet, CA 92543 q INDIO 46-200 Oasis St., Indio, CA 92201 q MURRIETA 30755-D Auld Road, Murrieta, CA 92563 q RIVERSIDE 4050 Main St., Riverside, CA 92501 RIVERSIDE 4175 q Telephone No.:Main St., Riverside, CA 92501 TEMECULA 41002 q Facsimile No.: County Center Dr., #100, Temecula, CA 92591 E-Mail Address: Mobile Tel. No.: 07/01/2003 RIVERSIDE COUNTY ARBITRATION PANEL QUESTIONNAIRE American LegalNet, Inc. www.USCourtForms.com Page two