ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA 600 ADMINISTRATION DRIVE, ROOM 107-J SANTA ROSA, CALIFORNIA 95403-2878 PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: STIPULATION AND ORDER REFERRING MATTER TO ALTERNATIVE DISPUTE RESOLUTION (Check one): CASE NUMBER: Date: Time: Location: Assigned Judge: G UNLIMITED CASE (Amount demanded exceeds $25,000) G LIMITED CASE (Amount demanded is $25,000 or less) The parties hereby stipulate to refer the case to the following Alternate Dispute Resolution Process: G Mediation G Non-binding Private Arbitration G Binding Private Arbitration G Private Settlement Conference G Early Neutral Evaluation G Judicial Arbitration The ADR process will be conducted by (name of individual): Provider's Address: Fax: E-mail address: Provider's Telephone: G No agreement The ADR process will be conducted on (date): ___________________________________________________. G No agreement G G The parties have reached agreement as to the payment of fees of ADR provider. The parties have not reached agreement as to the payment of fees of ADR provider. (Date and Sign) Attorney or party without attorney (Sign in blue ink) Type or print name of G Party without attorney G Attorney for G Plaintiff/Petitioner G Defendant/Respondent/Contestant Type or print name of G Party without attorney G Attorney for G Plaintiff/Petitioner G Defendant/Respondent/Contestant (Date and Sign) Attorney or party without attorney (Sign in blue ink) G Additional signatures are attached CV-7 [Rev. 07-01-11] Form Adopted for Optional Use STIPULATION AND ORDER REFERRING MATTER TO ADR SCR, Rule 16 American LegalNet, Inc. www.FormsWorkFlow.com PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: ORDER A REVIEW HEARING IS SCHEDULED AS FOLLOWS: Date Time All parties must appear at the Review Hearing. In the event that the case is settled and a dismissal, a notice of settlement or a judgment is filed at least 3 court days befor e the scheduled Review Hearing, the Review Hearing will be dr opped and no one should appear. You must check the phone messa ge at or go to http://sonoma.courts.ca.gov/online-services/tentative-rulings where the tentative dispositions will be posted the day before you are scheduled to come to court to determine if you must appear. THE FIRST ATTORNEY OR PARTY LISTED MUST FILE PROOF OF SERVICE OF A COPY OF THIS ORDER ON ALL PARTIES. Date JUDGE OF THE SUPERIOR COURT CV-7 [Rev. July 1, 2011] STIPULATION AND ORDER REFERRING MATTER TO ADR Page 2 American LegalNet, Inc. www.FormsWorkFlow.com or 2 Formed approved for optional use