Last updated: 5/29/2015
Mediators Fee Statement {RI-ADR07}
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Description
RI-ADR07 - MEDIATOR FEE STATEMENT. This is a Riverside County Superior Court form used by members of the Civil Mediation Panel who provided a Court-Ordered Mediation pursuant to Local Rule, Title 3, Division 2. The form must be submitted within ten (10) days of completing the mediation. It collects the mediator’s contact and vendor payee information, case details, mediation dates, and confirmation filings, including the Notice of Acceptance and Statement of Agreement or Non-Agreement. The mediator must certify panel membership status and declare under penalty of perjury that the services were provided. The approved compensation amount is $150.00 per case. Adopted for Mandatory Use. www.FormsWorkflow.com





