Ventura — VN-272 Stipulation to Mediator and Mediation Date

Source: https://ventura.courts.ca.gov/system/files/vn272.pdf

VN272

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 800 SOUTH VICTORIA AVE. VENTURA, CA 93009

PLAINTIFF/PETITIONER

DEFENDANT/RESPONDENT

CASE NUMBER:

STIPULATION TO MEDIATOR AND MEDIATION DATE

Within 15 days of being ordered to the Court-Ordered Civil Mediation Program, the parties and/or their attorneys must meet and confer and stipulate to a mediator. Parties who fail to stipulate to a mediator and file this form within 15 days will be assigned a mediator by the Court. (VCSC Local Rule 3.24.)

The litigants are participants in the Court-Ordered Civil Mediation Program. The litigants have met and conferred and by their signatures below, stipulate to the following mediator and mediation date:

Name of Mediator: __________________________________________________________________

Mediation Date: _______________________ Mediation Time: __________AM/PM

Location: ____________________________________________________________________

Court-Ordered Mediation Completion Date: __________________

(Printed Name of Plaintiff or Plaintiff’s Attorney) (Printed Name of Defendant or Defendant’s Attorney)

(Signature of Plaintiff or Plaintiff’s Attorney) (Signature of Defendant or Defendant’s Attorney)

Dated: _________________________ Dated: _________________________

Names and signatures of additional parties are attached.

Optional Form STIPULATION TO MEDIATOR AND MEDIATION DATE VN272 (New 07/25)