Stipulated Request For Referral To Settlement Conference

STATE OF NEW MEXICO COUNTY OF _________________ FIRST JUDICIAL DISTRICT COURT CASE NO. D-_____ -____ - ___________ _______________________________, Plaintiff/Petitioner vs. _______________________________, Defendant/Respondent. STIPULATED REQUEST FOR REFERRAL TO SETTLEMENT CONFERENCE The undersigned parties respectfully request that this cause be referred to a settlement conference, that (name )______________________________________, (mailing address, phone no.)_______________________________________________ be appointed as settlement facilitator, and that a referral order be issued herein. We certify that we have confirmed that ___________________________ is available and willing to serve as settlement facilitator. This case is assigned to Judge ________________________________. It was filed on _____________________. Submitted by: Attorney for Plaintiff/Petitioner _______________________________ Attorney for Defendant/Respondent Signature (Print:___________________) ________________________________ Mailing address ________________________________ Phone no. Signature Print:___________________) Mailing address Phone no. z/Forms/Settlement Facilitation/Parties/Stipulated Request for Referral to SC rev. 8/12/11 American LegalNet, Inc. www.FormsWorkFlow.com