SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BLYTHE PALM SPRINGS MURRIETA RIVERSIDE RI - ADR 002 Name, State Bar Number and Address) FOR COURT USE ONLY ( Optional): (Optional): (Name RESPONSE TO NOTICE OF COURT-ORDERED MEDIATION Parties Stipulate to a Mediator Do not submit this form unless the plaintiff or defendant has completed and initiated the following: The plaintiff will notify the mediator of the proposed location and 3 mediation dates/times that are acceptable to all parties. Page 1 of 2 RESPONSE TO NOTICE OF COURT-ORDERED MEDIATION American LegalNet, Inc. www.FormsWorkFlow.com PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: PROOF OF SERVICE BY FIRST - CLASS MAIL NOTICE OF ENTRY OF ORDER 1. I am at least 18 years old and not a party to this action . I am a resident of or employed in the county where the mailing took place, and my residence or business address is ( specify ): 2. I served a copy of the Response to Notice of Court - Ordered Mediation b y enclosing it in a sealed envelope with postage fully prepaid and ( check one ): a. deposited the sealed envelope with the United States Postal Service. b. placed the sealed envelope for collection and proce ssing for mailing, following this business222s usual practices, with which I am readily familiar. On the same day correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Post al Service. 3. The Notice of Entry of Order was mailed: a. on ( date ): b. from ( city and state ): 4. The envelope was addressed and mailed as follows: a. Mediator named on page 1, in item 1 : c. Name of person served: Street address: Street address: City: City: State and zip: State and zip: b. Name of person served: d. Name of person served: Street address: Street address: City: City: State and zip: State and zip: Names and addresses of additional persons served are attached. 5. Number of pages attached . I declare under penalty of perjury under the laws of the State of California that the fore going is true and correct. Date: (TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE) Page 2 of 2 Adopted for Mandatory Use Riverside Superior Court Form RI-ADR002 [Rev. 06/01/16] RESPONSE TO NOTICE OF COURT - ORDERED MEDIATION Local Rule 3273 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com