Contra Costa — ADR-301 Mediation Notice of Date Time & Place

Source: https://contracosta.courts.ca.gov/system/files/adr301-mednoticeofdatetimeandplace.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:

NOTICE OF DATE, TIME AND PLACE OF CASE NUMBER:
MEDIATION

All parties in this case are notified this matter is set for mediation on:

Date: __________________________________________________

Time: __________________________________________________

Place: __________________________________________________

__________________________________________________

I ______________________________________ declare, under penalty of perjury, that all counsel and

parties have been notified of the date, time and place of the mediation.

SIGN

Date: _________________________ Signature: __________________________________________

Print Name: _________________________________________

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

ADR-301 Rev. 10/14/16