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Civil Appeal Case Screening Questionnaire To Determine Suitability For Mediation - California
| Civil Appeal Case Screening Questionnaire To Determine Suitability For Mediation Form. This is a California form and can be used in Fifth Appellate District Court Of Appeals . |
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COURT OF APPEAL, FIFTH APPELLATE DISTRICT CIVIL APPEAL CASE SCREENING QUESTIONNAIRE TO DETERMINE SUITABILITY FOR MEDIATION This questionnaire will assist the court in selecting cases for mediation to be conducted by a sitting justice of this court. The court intends to select cases shortly after the notice of appeal is filed and before the expense of preparing the record on appeal and appellate briefs has been incurred, This questionnaire is to be completed and signed by each party, or their counsel of record, and served on all other parties, or counsel of record, and filed with the court within ten (10) calendar days of mailing of this questionnaire. 1. Case Name and Number: ____________________________________________________ 2. Name of Party/Client: 3. Name of Attorney: 4. Subject Matter (Check all that apply): Attorney Fees Family Law Business/Contract Insurance Construction Professional Negligence Employment Environmental Other (specify): 5. Date Notice of Appeal Filed: 6. Trial Court Venue: 7. Name of Trial Judge: 8. The trial court judgment resulted from: Jury Trial Court Trial Dismissal Nonsuit Order (specify): Other (specify): 9. What was the judgment?: 10. Length of trial or hearing appealed from: _____ (number of court days) Summary Judgment Arbitration Award Demurrer Administrative Mandamus Personal Injury Probate Intellectual Property Real Estate 1 American LegalNet, Inc. www.FormsWorkFlow.com You have a maximum of 1000 words to address questions 11-19 on this page. Please use the text box immediately following question 19 to respond and please identify which question you are addressing (i.e., #2., #3. etcetera.) 11. If there have been any prior appeals in this case (or a related case), state the case name, case number and identify the appellate court: 12. Has anything changed since the most recent settlement offers/demands that may affect the settlement position of any party?: ( If so, explain. ) 13. Identify all ADR processes in this case in which you have participated (e.g., mediation, arbitration, or settlement conferences). State the name of all judges, mediators, or other neutral parties involved and the dates of same: 14. Briefly state the facts of the case: 15. Describe any ongoing personal, professional, or business relationship between any of the parties to this appeal: 16. Identify all persons, other than the parties, whose agreement is necessary for the mediation of this appeal and any related litigation or dispute (e.g., an insurance adjuster, spouse, lien holder): 17. State whether any boards, councils or groups of persons must approve any settlement agreement: 18. Identify the primary issues on appeal: 19. Is there a claim for recovery of attorney fees?: (If so, state the amount and legal authority.) a proxy DLL deployed on each client machine. As WMI is available in the Windows operating system since Windows 2 American LegalNet, Inc. www.FormsWorkFlow.com 20. Are there any insurance issues that may hinder settlement?: 21. Are there any liens?: (If so, state their amounts.) 22. State whether you believe this case would benefit from a mediation conducted by the appellate court.: Yes No 23. If you indicated "No," explain your reasons: 24. The impediments, if any, to resolving this case are: Date: Signature Print Name of Party or Attorney 3 American LegalNet, Inc. www.FormsWorkFlow.com
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