Ventura — VN-274 Mediator’s Notice of Acceptance or Recusal

Source: https://ventura.courts.ca.gov/system/files/vn274.pdf

VN274

MEDIATOR (Name and Address) Telephone Number FOR COURT USE ONLY

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

CASE NUMBER: PLAINTIFF/PETITIONER

DEFENDANT/RESPONDENT MEDIATION COMPLETION DATE: MEDIATOR’S NOTICE OF ACCEPTANCE OR RECUSAL

This Notice must be served on the Court and all parties within ten (10) days of the “Notice of Assignment of Mediator” form.

TO THE COURT AND TO ALL PARTIES IN THIS MATTER:

A. ACCEPTANCE
I agree to serve as the mediator in this case and:
The mediation has not yet been scheduled.
The mediation has been set for: Date: _____________________.
Time: _____________________.
Place: _____________________.

B. RECUSAL
I decline to serve as a mediator in this case.

C. MEDIATION WILL NOT BE SCHEDULED
The parties advise that the case has settled.
Other: _________________________________

Dated: ________________________________ ________________________________________________ (Mediator’s Signature)

Optional Form VN274 (New 07/25) MEDIATOR’S NOTICE OF ACCEPTANCE OR RECUSAL