Request For Referral To Settlement Conference

STATE OF NEW MEXICO COUNTY OF _________________ FIRST JUDICIAL DISTRICT COURT CASE NO. D-______-____-___________ __________________________, Plaintiff / Petitioner, vs. __________________________, Defendant / Respondent. REQUEST FOR REFERRAL TO SETTLEMENT CONFERENCE The undersigned respectfully requests that this case be referred to a settlement conference, that a settlement facilitator be promptly appointed, and that a referral order be issued herein. This case is assigned to Judge ________________________________. It was filed on _____________________. The issues in this case are: __ _________. IS NOT required. A Spanish-speaking settlement facilitator (circle one) IS (Parties are responsible for providing their own interpreters for other languages.) The names, addresses and telephone numbers of all counsel or parties pro se entitled to participate are: Plaintiff/Petitioner or Attorney Defendant/Respondent or Attorney Submitted by: ________________________________ Signature (Print Name:_____________________) z/Forms/SF/Parties Req for Ref to SC rev 08.12.11 1 American LegalNet, Inc. www.FormsWorkFlow.com Mailing address Phone XC: Plaintiff/Attorney for Plaintiff/Petitioner (name, mailing address, phone) Defendant/Attorney for Defendant/ Respondent (name, mailing address, phone) CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing Request for Referral to Settlement Conference was (circle one) mailed /faxed / hand-delivered / emailed, to all parties of record listed above on this ______ day of _____________, 201__. ________________________________ z/Forms/SF/Parties Req for Ref to SC rev 08.12.11 2 American LegalNet, Inc. www.FormsWorkFlow.com