ATTACHMENT FM-1119 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS) TELEPHONE NUMBER: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF: DEFENDANT: FAMILY LAW JUDICIAL SETTLEMENT PROGRAM STIPULATION AND ORDER CASE NUMBER: 1. 2. The parties and their attorneys stipulate that the claims in this action be submitted to the Family Law Judicial Settlement Program for a Settlement Conference. It is further stipulated that the matter be submitted to the following Judge(s), in the following order: a. b. c. The Hon. The Hon. Supervising Judge. d. We estimate the trial will take days. , Judge, Superior Court of California, County of Santa Clara; or , Judge, Superior Court of California, County of Santa Clara; or A Judge of the Superior Court of California, County of Santa Clara assigned by the Family 3. Date: Parties and counsel have read and agree to be bound by the Rules of the Family Law Judicial Settlement Program, and the Rules of Court of the Superior Court of California, County of Santa Clara. (Attorney for Petitioner - Type or Print Name) (Signature) (Petitioner - Type or Print Name) (Signature) (Attorney for Respondent - Type or Print Name) (Signature) (Respondent - Type or Print Name) (Signature) (Attorney for Other - Type or Print Name) (Signature) (Attach additional signature pages if necessary) ORDER ON REVERSE SIDE FM-1119 REV 01/01/13 Optional Use FAMILY LAW JUDICIAL SETTLEMENT PROGRAM STIPULATION AND ORDER Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com ATTACHMENT FM-1119 PLAINTIFF: DEFENDANT: CASE NUMBER: 4. Application for Family Law Judicial Settlement Program is: a. Approved. b. Denied. This case is submitted for Settlement Conference to Judge , Department . 5. 6. Parties and/or counsel shall contact the Settlement Judge within 10 calendar days for scheduling of the hearing. are not Pending the completion of the settlement process, discovery and law and motion proceedings stayed are stayed [except for the following matters: . The following matters are continued to , 20 , at a.m. p.m. in Department . Settlement and Case Status Review is set for in Department . The Case Status/Case Resolution Conference set for in Department remains set is vacated at am. p.m. in Department . , 20 , at a.m. p.m. 7. 8. 9. , 20 , at is continued to a.m. , 20 p.m. , IT IS SO ORDERED. Date: Judicial Officer of the Superior Court FM-1119 REV 01/01/13 Optional Use FAMILY LAW JUDICIAL SETTLEMENT PROGRAM STIPULATION AND ORDER Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com