Lassen — Stipulation for Court Commissioner to Act as Temporary Judge

Source: https://www.lassen.courts.ca.gov/system/files/local-forms/lsc-mis-300.pdf

FOR COURT USE ONLY

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LASSEN 2610 Riverside Drive, Susanville, CA 96130

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

STIPULATION FOR COURT COMMISSIONER CASE NUMBER:
TO ACT AS TEMPORARY JUDGE

The Court Commissioner assigned to your case, ________________________________ is a judicial officer of

the Lassen County Superior Court and may act as a Temporary Judge if all the parties agree in writing. (California

Constitution, Article 6 § 21, 22; Code of Civil Procedure § 259(d))

Your signature below means you agree that Commissioner _____________________________ shall act

as a Temporary Judge for the hearing scheduled ___________________.

Dated: ____________________

SIGN SIGN

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Signature Signature

Self-represented or Attorney for: ________________ Self-represented or Attorney for: ________________ ☐ ☐ ☐ ☐
Petitioner/Plaintiff Respondent/Defendant Petitioner/Plaintiff Respondent/Defendant ☐ ☐ ☐ ☐

SIGN SIGN

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Signature Signature

Self-represented or Attorney for: ________________ Self-represented or Attorney for: ________________ ☐ ☐ ☐ ☐
Petitioner/Plaintiff Respondent/Defendant Petitioner/Plaintiff Respondent/Defendant ☐ ☐ ☐ ☐

Form Adopted for Mandatory Use STIPULATION FOR COURT COMMISSIONER Lassen Superior Court LSC-MIS-300 [New May 10, 2022] TO ACT AS TEMPORARY JUDGE www.Lassen.Courts.ca.gov