California > Local County > Contra Costa > Alternative Dispute Resolution
Neutral Case Evaluation Summary (To Inform Panel Member) ADR-504 - California
| Neutral Case Evaluation Summary (To Inform Panel Member) Form. This is a California form and can be used in Alternative Dispute Resolution Contra Costa Local County . |
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PARTY: (Name and Address): TELEPHONE NO: E-MAIL ADDRESS (Optional): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CASE NAME: P.O. BOX 911 MARTINEZ, CA 94553 MARTINEZ DO NOT SEND THIS FORM TO THE COURT CASE NUMBER: NEUTRAL CASE EVALUATION SUMMARY PARTIES MUST PREPARE AND GIVE INFORMATION ABOUT THEIR CASE TO THE NEUTRAL CASE EVALUATOR AND THE OTHER PARTIES AT LEAST FIVE COURT DAYS BEFORE THE EVALUATION. YOU MAY USE THIS FORM OR WRITE THE INFORMATION ON YOUR OWN PAPER. EVALUATION STATEMENTS MUST BE 5 PAGES OR LESS. 1. The name and title (or relationship to the case) of all people who will attend neutral case evaluation are as follows: _______________________________________________ _______________________________________________ (NAME) _______________________________________________ (NAME) _______________________________________________ (NAME) _______________________________________________ (NAME) (TITLE) _______________________________________________ (TITLE) _______________________________________________ (TITLE) _______________________________________________ (TITLE) More information attached to this form. 2. The important issues in this case are as follows: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ More information attached to this form. 3. I believe that the liability and damages in this case are as follows: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ More information attached to this form. ADR-504 Rev. 10/4/12 American LegalNet, Inc. www.FormsWorkFlow.com 4. Summary of the history of this case and any settlement discussions: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ More information attached to this form. 5. The documents listed below will help the neutral case evaluator to better understand the issues in dispute: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ More information attached to this form. 6. Other comments: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ More information attached to this form. Date: _______________________________________________ (TYPE OR PRINT NAME OF PARTY SUBMITTING THIS EVALUATION STATEMENT) _______________________________________________ (SIGNATURE OF PARTY SUBMITTING THIS EVALUATION STATEMENT) ADR-504 Rev. 10/4/12 American LegalNet, Inc. www.FormsWorkFlow.com
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