In navigating the complexities of disputes within the legal framework of Los Angeles County, the Superior Court offers a pivotal solution through the LAADR 039 form, a cornerstone document within the realm of Alternative Dispute Resolution (ADR). This form serves as an intake for ADR case referrals, meticulously designed to streamline the process of mediation, arbitration, neutral evaluation, or settlement conference, depending on the nature of the case. It encompasses a wide array of litigation types including civil, family law, probate, and others, requiring detailed information about the case at hand such as the case number, courthouse, department, and the litigation type itself. Moreover, it guides the involved parties through selecting an appropriate ADR process and neutral party while clarifying the financial commitments expected. The form is also comprehensive in soliciting details regarding the dispute's amount, attorney information, and additional parties. By meticulously detailing the case selection criteria and the required neutrality selections—whether through party select or random panel—the LAADR 039 form epitomizes the structured yet flexible approach adopted by the Los Angeles County Superior Court to facilitate dispute resolution. This document not only underscores the commitment towards accessible justice but also highlights the nuanced understanding required to navigate its parameters efficiently.
| Question | Answer |
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| Form Name | Form Laadr 039 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | Mgr, ADA, adr case referral intake form, UD |
Superior Court of California, County of Los Angeles
JOHN A. CLARKE, EXECUTIVE OFFICER/CLERK |
ALTERNATIVE DISPUTE RESOLUTION (ADR) |
ADR CASE REFERRAL INTAKE
(Please type or print clearly)
CASE INFORMATION
Case Number:
Courthouse:
Dept.:
Case Name:
Litigation Type: |
Civil |
Family Law |
Probate |
Other (specify): _________________________________________________ |
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ADR Process: |
MEDIATION |
ARBITRATION |
NEUTRAL EVALUATION |
SETTLEMENT CONFERENCE |
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Case Type: See Page 2 |
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ADR Completion Date: |
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Amount in Dispute: |
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Plaintiff/Petitioner or attorney: |
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Over $1,000,000 |
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Defendant/Respondent or attorney: |
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Over $1,000,000 |
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NEUTRAL SELECTION |
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Party Select Panel:
The parties select the following Neutrals in order of preference from the Court ADR Party Pay Panel and acknowledge they are undertaking a financial commitment in selecting a Party Pay Panel Neutral.
1) NAME: ___________________________________________________________ |
NEUTRAL NO.: ____________________________ |
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2) NAME: ___________________________________________________________ |
NEUTRAL NO.: ____________________________ |
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_____________________________________________________________ |
_____________________________________________________________ |
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(signature of plaintiff/petitioner or attorney) |
(signature of defendant/respondent or attorney) |
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ADDITIONAL SIGNATURES LISTED ON ATTACHED PAGE
Random Select Panel:
The parties understand that a Neutral from the Court ADR Pro Bono Panel will be assigned on a random basis (civil mediation and arbitration only).
NAME OF ASSIGNED NEUTRAL: ___________________________________________________________ NEUTRAL NO.: ____________________________
PARTIES
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ATTORNEY FOR: |
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ATTORNEY FOR: |
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(party name) |
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ATTORNEY FOR: |
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ADDITIONAL PARTIES LISTED ON PAGE THREE |
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FOR OFFICE USE ONLY
Received by:
Name |
Date |
Case Mgr Assigned:
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Date |
LAADR 039 (Rev. 04/09) |
Page 1 of 3 |
LASC Approval |
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ADR CASE REFERRAL INTAKE
(continued)
Case Name:
Case Number:
CASE SELECTION CRITERIA
CASE TYPE
Antitrust/Trade Regulation
Auto Tort - Personal Injury/Property Damage/Wrongful Death (PI/PD/WD)
Auto Tort - Uninsured Motorist - PI/PD/WD
Civil Harassment
Construction Defect
Contract - Breach of Rental/Lease Contract (not insurance, UD, or wrongful eviction)
Contract - Collections
Contract - Contract/Warranty Breach - Seller Plaintiff
Contract - Contractual Fraud
Contract - Insurance Coverage/Subrogation
Contract - Negligent Breach of Contract/Warranty (not insurance or fraud)
Contract - Other Breach of Contract/Warranty (not insurance, fraud, or negligence)
Contract - Tortious Interference
Declaratory Relief Only
Elder/Dependent Adult Abuse
Employment - Labor Commissioner Appeals
Employment - Other (not wrongful termination or labor commissioner appeal)
Employment - Wrongful Termination
Family
Injunctive Relief Only (not domestic/harassment)
Other PI/PD/WD Tort - Asbestos
Other PI/PD/WD Tort - Intentional (e.g., assault, vandalism, etc.)
Other PI/PD/WD Tort - Intentional Infliction of Emotional Distress
Other PI/PD/WD Tort - Medical Malpractice
Other PI/PD/WD Tort - Premises Liability
Other PI/PD/WD Tort - Product Liability (not asbestos, toxic/environmental)
Partnership & Corporate Governance
Probate
Real Property - Eminent Domain/Condemnation
Real Property - Mortgage Foreclosure
Real Property - Quiet Title
Real Property - Wrongful Eviction
Real Property - Other
Securities
Toxic Tort/Environmental
Workplace Harassment
Writ of Mandate
Do you need a neutral who accepts cases on short notice? |
Yes |
No |
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Jurisdiction Type: |
Unlimited |
Limited |
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Language ability needed other than English: |
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ADA Accommodations |
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Accessible parking |
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Accessible entrance |
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Accessible elevators |
Accessible restrooms |
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Accessible public phones |
Accessible listening devices |
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Accessible tables/counters |
Other (specify): |
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Location: Zip Code: |
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LAADR 039 (Rev. 04/09) |
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Page 2 of 3 |
LASC Approval |
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ADR CASE REFERRAL INTAKE
(continued)
(This Form Must Be Completed In Detail)
Case Name:
Case Number:
ADDITIONAL PARTIES
ATTORNEY NAME:
FIRM:
ADDRESS:
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ATTORNEY FOR:
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ATTORNEY FOR:
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To obtain additional case information, visit Case Summaries at www.lasuperiorcourt.org |
LAADR 039 (Rev. 04/09) |
Page 3 of 3 |
LASC Approval |
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