Form Laadr 039 PDF Details

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.

QuestionAnswer
Form NameForm Laadr 039
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesMgr, ADA, adr case referral intake form, UD

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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): _________________________________________________

 

 

 

 

 

ADR Process:

MEDIATION

ARBITRATION

NEUTRAL EVALUATION

SETTLEMENT CONFERENCE

Case Type: See Page 2

 

ADR Completion Date:

 

Amount in Dispute:

 

 

 

 

Plaintiff/Petitioner or attorney:

$0-$25,000

$50,000-$100,000

$250,000-$500,000

$750,000-$1,000,000

 

$25,000-$50,000

$100,000-$250,000

$500,000-$750,000

Over $1,000,000

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Defendant/Respondent or attorney:

$0-$25,000

$50,000-$100,000

$250,000-$500,000

$750,000-$1,000,000

 

$25,000-$50,000

$100,000-$250,000

$500,000-$750,000

Over $1,000,000

 

 

NEUTRAL SELECTION

 

 

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.: ____________________________

2) NAME: ___________________________________________________________

NEUTRAL NO.: ____________________________

_____________________________________________________________

_____________________________________________________________

(signature of plaintiff/petitioner or attorney)

(signature of defendant/respondent or attorney)

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

ATTORNEY NAME:

 

 

ATTORNEY NAME:

 

 

 

 

 

 

 

 

 

 

FIRM:

 

 

 

FIRM:

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

CITY:

 

STATE:

ZIP:

 

 

 

 

 

 

 

 

PHONE: (

)

FAX: (

)

PHONE: (

)

FAX: (

)

 

 

 

 

 

 

 

 

E-MAIL:

 

 

 

E-MAIL:

 

 

 

 

 

 

 

 

 

ATTORNEY FOR:

 

 

ATTORNEY FOR:

 

 

___________________________________________________________________

____________________________________________________________________

(party name)

 

(party type)

(party name)

 

(party type)

ATTORNEY NAME:

 

 

ATTORNEY NAME:

 

 

 

 

 

 

 

 

 

 

FIRM:

 

 

 

FIRM:

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

CITY:

 

STATE:

ZIP:

 

 

 

 

 

 

 

 

PHONE: (

)

FAX: (

)

PHONE: (

)

FAX: (

)

 

 

 

 

 

 

 

 

E-MAIL:

 

 

 

E-MAIL:

 

 

 

 

 

 

 

 

 

ATTORNEY FOR:

 

 

ATTORNEY FOR:

 

 

___________________________________________________________________

____________________________________________________________________

(party name)

 

(party type)

(party name)

 

(party type)

ADDITIONAL PARTIES LISTED ON PAGE THREE

 

 

 

 

 

FOR OFFICE USE ONLY

Received by:

Name

Date

Case Mgr Assigned:

Name

Date

LAADR 039 (Rev. 04/09)

Page 1 of 3

LASC Approval 10-04

 

(not insurance, fraud, or negligence)

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)

Non-PI/PD/WD Tort - Business/Commercial Tort (not fraud or breach of contract)

Non-PI/PD/WD Tort - Civil Rights (e.g., discrimination, false arrest)

Non-PI/PD/WD Tort - Defamation (e.g., slander, libel)

Non-PI/PD/WD Tort - Fraud (no contract)

Non-PI/PD/WD Tort - Intellectual Property

Non-PI/PD/WD Tort - Legal Malpractice

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

Jurisdiction Type:

Unlimited

Limited

 

 

 

Language ability needed other than English:

 

 

 

 

ADA Accommodations

 

 

 

 

 

Accessible parking

 

Accessible entrance

 

Accessible elevators

Accessible restrooms

 

Accessible public phones

Accessible listening devices

Accessible tables/counters

Other (specify):

 

 

Location: Zip Code:

 

City:

LAADR 039 (Rev. 04/09)

 

 

 

Page 2 of 3

LASC Approval 10-04

 

 

 

 

ADR CASE REFERRAL INTAKE

(continued)

(This Form Must Be Completed In Detail)

Case Name:

Case Number:

ADDITIONAL PARTIES

ATTORNEY NAME:

FIRM:

ADDRESS:

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

 

(party type)

ATTORNEY NAME:

 

 

 

 

 

 

FIRM:

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

 

(party type)

ATTORNEY NAME:

 

 

 

 

 

 

FIRM:

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

 

(party type)

ATTORNEY NAME:

 

 

 

 

 

 

FIRM:

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

(party type)

ATTORNEY NAME:

FIRM:

ADDRESS:

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

 

(party type)

ATTORNEY NAME:

 

 

 

 

 

 

FIRM:

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

 

(party type)

ATTORNEY NAME:

 

 

 

 

 

 

FIRM:

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

 

(party type)

ATTORNEY NAME:

 

 

 

 

 

 

FIRM:

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

CITY:

 

STATE:

ZIP:

 

 

 

 

PHONE: (

)

FAX: (

)

 

 

 

 

E-MAIL:

 

 

 

ATTORNEY FOR:

___________________________________________________________________

(party name)

(party type)

 

To obtain additional case information, visit Case Summaries at www.lasuperiorcourt.org

LAADR 039 (Rev. 04/09)

Page 3 of 3

LASC Approval 10-04