SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
JUDICIAL ARBITRATOR BACKGROUND INFORMATION
Instructions: DO NOT ALTER THIS FORM IN ANY WAY. DO NOT ATTACH ADDITIONAL PAGES.
Name Phone Fax
Street or P.O. Box City Zip Code
State Bar Number Email address
1. Describe your education, including degrees and the dates received.
2. How many years have you been in active civil litigation practice as a member of the California State Bar?
3. What is or was the nature of your practice?
4. What percentage of your practice has been representing plaintiffs defendants
5. How many of the following have you completed in the past five years?
Jury trials Court trials Judicial arbitrations
6. Describe the subject matter of five disputes for which you have been an ADR provider in the past five
years, with the dates.
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7. Check your areas of substantive expertise:
Banking Health Care Partnership
Business (Commercial - Contract) Housing Personal Injury
Civil Rights Intellectual Property Probate - Wills
Construction Insurance Prof. Negl. (Non-Medical)
Defamation Labor - Employment Real Estate
Disabilities Landlord/Tenant Securities
Elder Issues/Abuse Medical Malpractice Tax
Environment Neighborhood Other (specify): _________
8. Give any other information that should be considered by parties or counsel.
JUDICIAL ARBITRATOR BACKGROUND INFORMATION
CV-5040 REV. 4/06
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