SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF SHASTA Case No.: Plaintiff(s), STIPULATION - ALTERNATIVE DISPUTE RESOLUTION vs. Defendant(s). The parties and their attorneys stipulate that all claims in this action shall be submitted to one of the following alternative dispute processes: (Select One Process) 1. Private Mediation. The parties agree on all the terms and conditions of private mediation. Their agreement is attached to this stipulation. 2. Judicial Mediation. The court will set the time and place for judicial mediation. No fee will be charged to the parties. 3. Private Arbitration. The parties agree on all the terms and conditions of binding arbitration. Their agreement is attached to this stipulation. 4. Judicial Arbitration. The court will make orders implementing non-binding arbitration. No fee will be charged to the parties. 5. Reference to a General Referee (C.C.P. §638(1)). The parties agree to the person selected and to the terms and conditions of the reference and the payment of fees. Their agreement is attached to this stipulation. 6. Expedited Trial Program. The parties agree to the person selected to be judge and to the payment of costs. Their agreement is attached to this stipulation. 7. Other: (Please specify). IT IS ALSO STIPULATED that (specify, e.g., deadline for completion of ADR process, suspension or limitation of discovery, etc.) Date: ________________________________________ Date: Name of Plaintiff Name of Defendant Signature Signature Plaintiff’s Attorney Defendant’s Attorney Signature Signature IT IS SO ORDERED. IT IS ALSO ORDERED that: THE COURT RESERVES JURISDICTION TO AMEND, INTERPRET OR SUPPLEMENT THIS ORDER. _____________________________________________________________________________________ _ Form Approved for Optional Use Shasta County Superior Court LF-CIV-104 [rev July 1, 2012] STIPULATION-ALTERNATIVE DISPUTE RESOLUTION Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com Date: Judge _____________________________ _____________________________________________________________________________________ _ Form Approved for Optional Use Shasta County Superior Court LF-CIV-104 [rev July 1, 2012] STIPULATION-ALTERNATIVE DISPUTE RESOLUTION Page 2 of 1 American LegalNet, Inc. www.FormsWorkFlow.com