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Mediation Attendance Form ADR-18 - California
| Mediation Attendance Form Form. This is a California form and can be used in ADR USDC Central Federal . |
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UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA MEDIATION ATTENDANCE FORM Case Name: Case No.: Name of Neutral: Date of Mediation: Instructions for Neutral : Please have all attorneys and client representatives who attend the mediation session provide their contact information. This information will be used to send, preferably by email, a survey asking participants of this mediation to evaluate their experience. Please return this form to the ADR Program Office, U.S. Courthouse, 312 N. Spring Street, Room 909, Los Angeles, CA 90012, with your completed "Survey for Mediator and Report of Payment." Thank you. ATTORNEYS Please circle the side you represent. Attach a business card or fill in your contact details. Please include your e-mail address. Name Firm Name Address City Phone Fax or Email Circle: Name Firm Name Address City Phone Fax or Email Circle: PLAINTIFF DEFENDANT OTHER State Zip PLAINTIFF DEFENDANT OTHER State Zip Name Firm Name Address City Phone Fax or Email Circle: Name Firm Name Address City Phone Fax or Email Circle: PLAINTIFF DEFENDANT OTHER State Zip PLAINTIFF DEFENDANT OTHER State Zip ADR-18 (01/12) MEDIATION ATTENDANCE FORM Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com CLIENTS Please circle the role you play in the case or the side you represent. You may attach a business card. Please include your e-mail address. Name Firm Name Address City Phone Fax or Email Circle: Name Firm Name Address City Phone Fax or Email Circle: Name Firm Name Address City Phone Fax or Email Circle: PLAINTIFF DEFENDANT OTHER State Zip PLAINTIFF DEFENDANT OTHER State Zip PLAINTIFF DEFENDANT OTHER State Zip Name Firm Name Address City Phone Fax or Email Circle: Name Firm Name Address City Phone Fax or Email Circle: Name Firm Name Address City Phone Fax or Email Circle: PLAINTIFF DEFENDANT OTHER State Zip PLAINTIFF DEFENDANT OTHER State Zip PLAINTIFF DEFENDANT OTHER State Zip ADR-18 (01/12) MEDIATION ATTENDANCE FORM Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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