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Mediators Notice Of Acceptance Or Recusal To Court-Ordered Mediation RI-ADR03 - California
| Mediators Notice Of Acceptance Or Recusal To Court-Ordered Mediation Form. This is a California form and can be used in Arbitration Riverside Local County . |
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 135 N. Alessandro Rd., Banning, CA 92220 HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 MEDIATOR (Name, State Bar Number and Address): RIVERSIDE 4050 Main St., Riverside, CA 92501 TEMECULA 41002 County Center Dr., Ste. 100, Temecula, CA 92591 RI-ADR03 FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): FAX NO. (Optional): PLAINTIFF(S): DEFENDANT(S): CASE NUMBER: MEDIATION COMPLETION DATE: MEDIATOR'S NOTICE OF ACCEPTANCE OR RECUSAL TO COURT-ORDERED MEDIATION Assignment: The court has assigned me to serve as the mediator in this case. Stipulation: The parties have requested that I serve as the mediator in this case. This Notice must be served on all parties and filed with a proof of service within fifteen (15) days of the Notice of Court-Assigned Mediator or notice of the parties' stipulation to the mediator. TO THE COURT AND TO ALL PARTIES IN THIS MATTER: A. ACCEPTANCE. I agree to serve as the mediator in this case. The mediation has not yet been scheduled. Date: The mediation has been set for: Time: Place: B. RECUSAL I decline to serve as a mediator in this case. (Optional): Reason for recusal: C. THE MEDIATION WILL NOT BE SCHEDULED The parties state that the case has fully settled. Other Dated: Mediator's Signature Information and forms are posted on the ADR website: www.riverside.courts.ca.gov/adr/adr.shtml $dotptHG IRU Mandatory 8VH 5LYHUVLGH 6XSHULRU &RXUW )RUP 5,$'5 >5HY 112@ 0(',$725ΒΆ6 127,&( 2) $&&(37$1&( 25 5(&86$/ &DO 5XOHV RI &RXUW 5XOH I ULYHUVLGHFRXUWVFDJRYORFDOIUPVORFDOIUPVVKWPO American LegalNet, Inc. www.FormsWorkFlow.com 3DJH RI PROOF OF SERVICE BY MAIL FAX ELECTRONIC SERVICE (Must be Attached to Original Document at Time of Filing) Case No.: I, the undersigned, say: I am over the age of eighteen years and not a party to the within action or proceeding. My residence or business address is , California. The fax number from which I served the documents is (complete if service was by fax): On the day of , I served a copy of the paper to which this proof of service by mail is attached. MEDIATOR'S NOTICE OF ACCEPTANCE OR RECUSAL TO COURT-ORDERED MEDIATION as follows: By United States mail. I deposited said copy enclosed in a sealed envelope with postage hereon fully prepaid, in the United States Postal Service mail box at the City of , California, addressed as follows By fax transmission. Based on an agreement of the parties to accept service by fax transmission, I faxed the Mediator's Notice of Acceptance or Recusal to the persons listed at the fax numbers below. No error was reported by the fax machine that I used. A copy of the record of the fax transmission, which I printed out, is attac ed. Names Fax Numbers By electronic service. Based on a agreement of the parties to accept service by electronic transmission, I caused the documents to be sent to the persons at the electronic notification addresses listed below: Names E-mail Addresses I certify (or declare) under penalty of perjury that the foregoing is true and correct. Executed on ,at , California. (TYPE OR PRINT NAME) (SIGNATURE) A d for Use Riverside Superior Court Form RI-ADR03 [Rev. / /1 ] PROOF OF SERVICE BY MAIL, FAX, OR ELECTRONIC SERVICE Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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