Mariposa — Alternative Dispute Resolution Status Report

Source: https://www.mariposa.courts.ca.gov/system/files/alternative-dispute-resolution-status-report.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, & Address) FOR COURT USE ONLY

TELEPHONE NUMBER: FAX NO.: ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MARIPOSA 5088 Bullion Street P.O. Box 28 Mariposa, CA 95338

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

ALTERNATIVE DISPUTE RESOLUTION STATUS REPORT (ADR) CASE NUMBER:

Type of Civil Case: [ ] Personal Injury – Property Damage/Auto [ ] Personal Injury – Property Damage [ ] Contract [ ] Other _______________

Date Complaint Filed: _____________________________

Amount in controversy:

[ ] $0 to $25,000 [ ] $25,000 to $50,000 [ ] $50,000 to $100,000 [ ] Over $100,000 (specify) _________________________

Date of Alternative Dispute Resolution (ADR) Conference: _____________________________________

Name, address, and telephone number of person who conducted the Alternative Dispute Resolution (ADR) Conference:

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Case resolved by Alternative Dispute Resolution: [ ] Yes (proper filing of a Notice of Settlement or Dismissal form is required by Clerk’s Office)

[ ] No Reason: ___________________________________________________________________________________________

Alternative Dispute Resolution process concluded: [ ] Yes

[ ] No Reason for delay: _______________________________________________________________________________ Next scheduled hearing date: __________________________________ at _________a.m./p.m.

Type of resolution process used: [ ] Mediation [ ] Arbitration [ ] Neutral Case Evaluation [ ] Other ________________________________________

Case was resolved by: [ ] Direct Result of ADR Process [ ] Indirect Result of ADR Process [ ] Resolution was unrelated to ADR Process

If case went through ADR and resolved, estimate the closest dollar amount that was saved in attorney fees and/ or expert witness fees by participating in the process. [ ] $0 [ ] $250 [ ] $500 [ ] $750 [ ] $1,000 [ ] More than $1,000 (specify) _____________________________________

Check the closest estimated number of court days you saved in motions, hearings, conferences, trials, etc. as a direct result of this case being referred to this dispute resolution process.

[ ] 0 Days [ ] 1 Day [ ] More than 1 day (specify) ____________________________

If the dispute resolution process caused an increase in court time for this case, please check the estimated number of additional court days:

[ ] 0 Days [ ] 1 Day [ ] More than 1 day (specify) ___________________________

Alternative Dispute Resolution Status Report (ADR) Local Form CV -11-004 Page 1 of 2

Case name: Case number:

I would be willing to use the dispute resolution process again:

[ ] Yes [ ] No

Please provide any additional comments below regarding your experience with the ADR process:

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Plaintiff(s): Defendant(s):

Date: _____________ Date: _____________

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Signature of Party or Attorney for Party Signature of Party or Attorney for Party

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Type or Print Name Type or Print Name

Date: ____________ Date: ____________

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Signature of Party or Attorney for Party Signature of Party or Attorney for Party

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Type or Print Name Type or Print Name

Date: ____________ Date: _______________

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Signature of Party or Attorney for Party Signature of Party or Attorney for Party

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Type or Print Name Type or Print Name

Alternative Dispute Resolution Status Report (ADR)

Local Form CV -11-004 Page 2 of 2