ADR Renewal Form

Your public profile information should have auto-populated if you clicked the link we emailed you in the renewal notice.
If you came to this page without the link or do not see your info below, try searching for the email associated with your public profile.
If neither of these methods work, please contact ADRDirector@riverside.courts.ca.gov.


Enter Any Changes to Your Public Information:
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*Do You Wish to Continue Serving on the Riverside Superior Court ADR Panel(s)?:

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*Skip if same as address above, for Fee Statement










Contact Information
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*Will You Accept:

Please Note: If you choose to receive stipulations only, you are still responsible for satisfying the required three (3) mediations per year to remain on the panel.
*Case Types Accepted / Subject Matter Expertise (At least one required - check all that apply)
























Representation

Please enter your best estimate of your overall representation types
Percentages must be whole numbers that add up to 100%


Percentage: %

Percentage: %
Bar Information
*CA Bar Status


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*Have you taken at least 3 hours of continuing mediation training/education per year since becoming a panelist?:

*Has any state bar taken disciplinary action against you?

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Please review your online profile on the panels to confirm it is current. Submit any changes to items not included in this renewal form to: ADRDirector@riverside.courts.ca.gov.

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I certify that the above is true and correct to the best of my knowledge, that I am the person who this profile belongs to, and want these changes to be made:



*Signature:
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