Santa Clara — Form CV-5007

Santa Clara — Form CV-5007¶

Source: https://santaclara.courts.ca.gov/system/files/forms/cv-5007_rem.pdf

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SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CLARA Elizabeth Strickland, ADR Administrator 191 North First Street San José, California 95113 Fax: 408-882-2595

APPLICATION FOR JUDICIAL ARBITRATORS (Do Not Alter this Form in Any Way. Do Not Attach Additional Pages)

Name:

State Bar Number:

Address:

County:

PhonePhone Number:Number: Fax Number:

Email Address:

Describe your education, including degrees and the dates received.
How many years have you been in active civil litigation practice as a member of the California State Bar? Are you currently in active practice? Yes No
What percentage of your practice has been representing plaintiffs defendantsdefendants ?
How many of the following have you completed in the past five years?: JuryJuryJuryJury trialstrialstrialstrials CourtCourtCourt trialstrialstrials Judicial arbitrations
Describe the subject matter of up to five of the completed jury trials enumerated above, with the dates.

6.6. AreAre youyou aa retiredretired judge?judge? Yes No Date of retirement:

Check the boxes that describe your experience, with percentages, and indicate whether you would be willing to hear cases in each subject area:

Business (Commercial - Contract) % Yes No Labor - Employment % Yes No Legal Malpractice % Yes No Medical Malpractice % Yes No Personal Injury % Yes No Probate % Yes No Real Estate % Yes No Other ( Specify ):): % Yes No

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How many times per year would you be willing to servee asas aa judicialjudicial arbitrator?arbitrator?
Are you willing to conduct hearings: in Santa Clara County? Yes No atatatatatat youryouryouryouryouryour office?office?office?office?office?office? Yes No during non-judicial hours? Yes No
Has any disciplinary action, suspension from practice, or fine or sanctions in excess of $250 been imposed against you by the California State Bar, other legal/professional organization or a court? Yes No If so, please explain fully, with dates:
Give any other information that should be considered in reviewing your application.

DECLARATION AND OATH

I declare under penalty of perjury that the foregoing is truetrue andand correct.correct. I agree to serve as an arbitrator under Code of Civil Procedure Sections 1141.10 et seq. and California Rules of Court, Rules 3.810 et seq. and to faithfully discharge my duties under those provisions.

Date: Signed:

MAIL THIS APPLICATION AND ANY ATTACHMENTS TO: ELIZABETH STRICKLAND, ADR ADMINISTRATOR SANTA CLARA COUNTY SUPERIOR COURT 191 N. FIRST STREET SAN JOSÉ, CA 95113 OR FAX TO 408-882-2595

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