ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) FOR COURT USE ONLY Telephone Number ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 800 SOUTH VICTORIA AVE. VENTURA, CA 93009 3855 – F ALAMO ST. SIMI VALLEY, CA 93063-2110 PLAINTIFF: DEFENDANT: CASE NUMBER: VOLUNTARY EARLY CIVIL MEDIATION REPORT (Local Rule No. 24.00) Pursuant to Rule No. 24.06 the parties report as follows: Pro-bono mediator selected by the parties from the Court’s on-line web site of available mediators (enter mediator name(s), address and telephone number below) Party-pay mediator selected by the parties (enter mediator name(s), address and telephone number below) Private mediator - not on Court panel (enter mediator name(s), address and telephone number below) Name of mediator: ________________________________________________________ Address: ________________________________________________________________ Telephone Number: _______________________________________________________ Alternate mediator: ________________________________________________________ Address: ________________________________________________________________ Telephone Number: ________________________________________________________ If the parties elect to participate in the Voluntary Early Civil Mediation Program, normal discovery procedures and deadlines will be suspended for 150 days and limited discovery shall be conducted pursuant to C.C.P. §94. Suspension of discovery deadlines applies only when the parties elect to participate in the Voluntary Early Civil Mediation Program. Dated: _____________________ _______________________________________ Attorney for Dated: ___________________ _______________________________________ Attorney for Note: This form must be completed and filed with the court no later than 35 days from the filing of the last defendant’s responsive pleading (Local Rule 24.06). Failure to comply can result in your required appearance at an Order to Show Cause hearing and sanctions being imposed. VN184 Rev 07/09 VOLUNTARY EARLY CIVIL MEDIATION REPORT American LegalNet, Inc. www.FormsWorkFlow.com