Attorney or Party without Attorney (Name, Address, Telephone, Fax, State Bar membership number): Court Use Only SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO Hall of Justice and Records 400 County Center Redwood City, CA 94063-1655 (650) 363-4711 Plaintiff(s): Case number: Defendant(s): Current CMC Date: STIPULATION AND ORDER TO APPROPRIATE DISPUTE RESOLUTION Plaintiff will file this stipulation with the Clerk's Office 10 days prior to or 3 weeks following the first Case Management Conference unless directed otherwise by the Court and ADR Director [Local Rule 2.3(i)(3)]. Please attach a Service List. The parties hereby stipulate that all claims in this action shall be submitted to (select one): Binding Arbitration (private) Voluntary Mediation Neutral Evaluation Settlement Conference (private) Non-Binding Judicial Arbitration CCP 1141.12 Summary Jury Trial Case Type: Neutral's name and telephone number: (Required for continuance of CMC except for non-binding judicial arbitration) Identify by name the parties to attend ADR session: Other: Date of session: Original Signatures Plaintiff/Petitioner Attorney for Party without attorney Defendant/Respondent/Contestant (Signature) Attorney or Party without attorney Type or print name of Plaintiff/Petitioner Party without attorney Attorney for Defendant/Respondent/Contestant (Signature) Attorney or Party without attorney Type or print name of Plaintiff/Petitioner Party without attorney Attorney for Defendant/Respondent/Contestant (Signature) Attorney or Party without attorney Type or print name of Plaintiff/Petitioner Party without attorney Attorney for Defendant/Respondent/Contestant (Signature) Attorney or Party without attorney Type or print name of IT IS SO ORDERED: Date: ADR-CV-2 [Rev. 9/04] Judge of the Superior Court of San Mateo County www.sanmateocourt.org American LegalNet, Inc. www.FormsWorkFlow.com