SUPERIOR COURT OF CALIFORNIA • COUNTY OF FRESNO
Probate Department, Central Division
1130 ‘O’ Street, Room 300
Fresno, California 93724
(559) 457-1888
TITLE OF CASE:
CASE NUMBER:
PROBATE MEDIATION REFERRAL
The Fresno Pacific University (FPU) Center for Peacemaking and Conflict FUTURE COURT DATE:
Studies contracts with the Fresno Superior Court to provide mediation for
appropriate court-referred Probate cases. The F.P.U. Center will be MEDIATION DATE/TIME:
contacting you by phone within three to five days of submission of this
form, to schedule mediation services.
No fees will be charged to any litigant filing pleadings under a court fee waiver for up to two (2) hours of
mediation including preparation of a mediated agreement should one be reached. Litigants without a fee
waiver will pay a fee based on a variable fee schedule. Litigants with a fee waiver will pay for requested
mediation time beyond the first (2) two hours at a rate based on a variable fee schedule.
Party Name: Address:
Party Type:
City: State: Zip Code: Phone:
Email Address: Court Fee-Waiver Granted
If applicable Attorney: Address:
City: State: Zip Code:
Phone: Email:
Party Name: Address:
Party Type:
City: State: Zip Code: Phone:
Email Address: Court Fee-Waiver Granted
If applicable Attorney: Address:
City: State: Zip Code:
Phone: Email:
Party Name: Address:
Party Type:
City: State: Zip Code: Phone:
Email Address: Court Fee-Waiver Granted
If applicable Attorney: Address:
City: State: Zip Code:
Phone: Email:
*If applicable, parties must provide their own adult interpreter.
PPR-04 E09-12
Mandatory
PROBATE MEDIATION REFERRAL American LegalNet, Inc.
www.FormsWorkFlow.com
Title: Case: Future Date: Med. Date:
Summary of known issues:
Mediation Status Form
Mediation Agreement reached; report to follow Mediation Agreement not reached
Mediation Agreement partially reached; report to follow
FPU requesting court continuance to mediate.
Mediation date continue to (date):
Mediation Scheduled; not held.
Other:
Mediator’s Signature Date
Mediation Location: B.F. Sisk Courthouse, 1130 'O' Street, 4th floor, Room 446, Fresno, California, 93724
Services provided by: Fresno Pacific University (FPU) Mediation Services
Phone: 559-453-3423
Email: Mediation.services@fresno.edu
Please note that Fresno Pacific University (FPU) is an independent service contractor for
Fresno County Superior Court. Therefore, FPU staff and mediators are not court employees nor
governed by the Probate Division of the Fresno Superior Court.
PPR-04 E12 -12
Mandatory
PROBATE MEDIATION REFERRAL American LegalNet, Inc.
www.FormsWorkFlow.com