ATTACHMENT FM-1119
FM-1119 REV 01/01/13
Optional Use
FAMILY LAW JUDICIAL SETTLEMENT PROGRAM
STIPULATION AND ORDER
Page 1 of 2
ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS) TELEPHONE NUMBER:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
STREET ADDRESS:
MAILING ADDRESS:
CITY
AND ZIP CODE:
BRANCH NAME:
PLAINTIFF:
DEFENDANT:
FOR COURT USE ONLY
FAMILY LAW JUDICIAL SETTLEMENT PROGRAM
STIPULATION AND ORDER
CASE NUMBER:
1. The parties and their attorneys stipulate that the claims in this action be submitted to the Family Law Judicial
Settlement Program for a Settlement Conference.
2. It is further stipulated that the matter be submitted to the following Judge(s), in the following order:
a.
The Hon. , Judge, Superior Court of California, County of Santa Clara; or
b.
The Hon. , Judge, Superior Court of California, County of Santa Clara; or
c.
A Judge of the Superior Court of California, County of Santa Clara assigned by the Family
Supervising Judge.
d. We estimate the trial will take
days.
3. Parties and counsel have read and agree to be bound by the Rules of the Family Law Judicial Settlement
Program, and
the Rules of Court of the Superior Court of California, County of Santa Clar
a.
Date:
(Attorney for Petitioner - Type or Print Name) (Signature)
(Petitioner - Type or Print Name) (Signature)
(Attorney for Respondent - Type or Print Name) (Signature)
(Respondent - Type or Print Name) (Signature)
(Attorney for Other - Type or Print Name) (Signature)
(Attach additional signature pages if necessary)
ORDER ON REVERSE SIDE
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