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Stipulation Regarding Selection Of Panel Mediator ADR-02 - California

Stipulation Regarding Selection Of Panel Mediator Form. This is a California form and can be used in ADR USDC Central Federal .
 Fillable pdf Last Modified 4/4/2016
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Name, Address and Telephone Number of Attorney(s): UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CASE NUMBER: v. Plaintiff(s) STIPULATION REGARDING SELECTION OF PANEL MEDIATOR Defendant(s). CHECK ONLY ONE BOX: The parties stipulate that may serve as the Panel Mediator in the above-captioned case. has contacted (Print Name) the Panel Mediator and obtained the Panel Mediator's consent to serve on a pro bono basis for three (3)hours. The parties request that the ADR Program staff assign to the above-captioned case a Panel Mediator with expertise in the following area of law : Dated: Attorney For Plaintiff Dated: Attorney For Plaintiff Dated: Attorney For Defendant Dated: Attorney For Defendant Attorney for Plaintiff to electronically file original document. ADR-02 (07/15) STIPULATION REGARDING SELECTION OF PANEL MEDIATOR American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1
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