District 11 ­ District Court STATE OF NORTH CAROLINA COUNTY OF ______________________Plaintiff Name, Address and Phone No. of Plaintiff's Attorney File No. IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION NON-DOMESTIC CIVIL DISTRICT CONSENT ORDER FOR ALTERNATIVE DISPUTE RESOLUTION (Voluntary) Arbitration Mediation v. Defendant Name, Address and Phone No. of Defendant's Attorney Arbitration/Mediation deadline: Name, Address, and Phone No. of Arbitrator/Mediator THIS MATTER, COMING ON TO BE HEARD, AND BEING HEARD BEFORE THE UNDERSIGNED STATES THAT: 1. 2. 3. 4. 1. 2. 3. 4. 1. 2. The parties and attorneys have consented to voluntary Arbitration Mediation. The parties and attorneys have agreed on ____________________________________ as a neutral and they further state that the neutral has agreed to arbitrate/mediate. The parties and attorneys have agreed on ______________ as the deadline for completion of the voluntary alternative resolution process. The parties, attorneys and neutral have agreed on a fee, if any. The parties and attorneys have consented to voluntary Arbitration Mediation. THE COURT FINDS THAT: The parties and attorneys have agreed on _________________________________ as a neutral and they further state that the neutral has agreed to arbitrate/mediate. The parties and attorneys have agreed on _______________ as the deadline for completion of the voluntary alternative resolution process. The parties, attorneys and neutral have agreed on a fee, if any. This case is continued to ______________ so that the parties can attempt voluntary alternative dispute resolution. This matter shall be calendared ___________________ (the first civil district court session following the resolution deadline #3) at which time the parties shall be prepared to try this matter if a resolution has not been reached. Attorney for Plaintiff Attorney for Defendant Judge IT IS, THEREFORE, ORDERED THAT: Date Date Date Consent Order for Non-Domestic Voluntary Alternative Dispute Resolution District 11 (December 2005) American LegalNet, Inc. www.FormsWorkflow.com