SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 135 N. Alessandro Rd., Banning, CA 92220 BLYTHE 265 N. Broadway, Blythe, CA 92225 RIVERSIDE 4050 Main St., Riverside, CA 92501 HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley, CA 92553 TEMECULA 41002 County Center Dr., Ste. 100, Temecula, CA 92591 RI-041 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY FAX NO. (Optional): TELEPHONE NO: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: Case Management Conference Date: Time: Department: STIPULATION AND ORDER TO PARTICIPATE IN ARBITRATION The parties in the above entitled action hereby stipulate to participate in arbitration proceedings. Each party having full authority to resolve the dispute agrees to be adequately prepared to meaningfully participate in the arbitration process and will fully cooperate with the arbitrator in scheduling the arbitration hearing. (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff Defendant (PRINT NAME OF PARTY OR ATTORNEY) (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: NAME OF PARTY STIPULATING TO ARBITRATION Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Defendant Other: IT IS SO ORDERED: Arbitration to be completed by (date): I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Ź (DATE) (JUDGE OF THE SUPERIOR COURT) Page 1 of 2 Approved for Optional Use Riverside Superior Court RI-041 [Rev. 5/6/11] STIPULATION TO PARTICIPATE IN ARBITRATION riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com PLAINTIFF/RESPONDENT: DEFENDANT RESPONDENT: CASE NUMBER: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff Defendant (PRINT NAME OF PARTY OR ATTORNEY) (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant (PRINT NAME OF PARTY OR ATTORNEY) Defendant Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff Defendant (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: Defendant (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) Other: (NAME OF PARTY STIPULATING TO ARBITRATION) Plaintiff (SIGNATURE OF PARTY OR ATTORNEY) (PRINT NAME OF PARTY OR ATTORNEY) (SIGNATURE OF PARTY OR ATTORNEY) Other: Page 2 of 2 Approved for Optional Use Riverside Superior Court Ri-041 [Rev. 5/6/11] STIPULATION TO PARTICIPATE IN ARBITRATION riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com