Contra Costa — ADR-505 Evaluator Report

Source: https://contracosta.courts.ca.gov/system/files/adr505-neutralcaseevaluationreport.pdf

ADR PANEL MEMBER: (Name and Address): FOR COURT USE ONLY

TELEPHONE NO: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA
MAILING ADDRESS: P.O. BOX 911
CITY AND ZIP CODE: MARTINEZ, CA 94553
BRANCH NAME: MARTINEZ

CASE NAME:

CASE NUMBER:
NEUTRAL CASE EVALUATION CONFERENCE REPORT

1. Neutral Case Evaluation (check one)

a. did not take place.

b. settled before.

c. switched to another ADR process.

d. took place on (date or dates): _______________________
and lasted a total of ________ hours.

2. Neutral Case Evaluation follow-up session(s) continuing.

I will send a final Neutral Case Evaluation Conference Report after Evaluation ends, or before the
court-ordered ADR completion deadline. If an extension of the completion deadline is needed, I will
inform the parties that they must contact the court.

Date: ___________________

SIGN
_______________________________________________ ______________________________________________
(TYPE OR PRINT NAME) (SIGNATURE OF EVALUATOR)

NOTE: Within 10 days of the end of the Evaluation Conference or by the ADR completion deadline set by the court,
the Evaluator must forward a copy of this report to the Alternative Dispute Resolution Programs department.

PLEASE DO NOT INCLUDE ANY CONFIDENTIAL INFORMATION ON THIS FORM.

Complete this form and email to adrweb@contracosta.courts.ca.gov ,
Fax (925) 608-2109 or mail: ADR Program, P.O. BOX 911, Martinez, CA 94553

NEUTRAL CASE EVALUATION REPORT

ADR-505 Rev. 10/14/16