Napa — Notice of Voluntary Mediator Acceptance or Recusal

Source: https://www.napa.courts.ca.gov/system/files/notice-mediator-acceptance-or-recusal.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF NAPA STREET ADDRESS: 825 Brown Street MAILING ADDRESS: 825 Brown Street CITY AND ZIP CODE: Napa, CA 94559

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

CASE NUMBER:
NOTICE OF MEDIATOR ACCEPTANCE OR RECUSAL
Civil Probate, Trusts & Estates Family Law

THIS NOTICE MUST BE FILED WITH THE COURT AND A COPY MAILED TO ALL PARTIES

I was assigned as the mediator in this case on . (date) I accept my assignment as the mediator in this case.

I am unable to accept my assignment as mediator in this case because:

Date: Mediator

(type or print name of Mediator)

Notice of Mediator Acceptance or Recusal 05/01/2015