Date Submitted Case Name Submitted By Company or Law Firm Phone Fax Email Enter multiple dates, preferences, and comments. PLAINTIFF INFORMATION Plaintiff's Name Attorney Law Firm Address City State Zip Code Phone Fax Email DEFENDANT INFORMATION Defendant's Name Attorney Law Firm Address City State Zip Code Phone Fax Email ADDITIONAL PARTIES (If none, skip to case information) Type of Party PlaintiffDefendantIntervenorAd Litem Party Name Attorney Law Firm Address City State Zip Code Phone Fax Email ADDITIONAL PARTIES (If none, skip to case information) Type of Party PlaintiffDefendantIntervenorAd Litem Party Name Attorney Law Firm Address City State Zip Code Phone Fax Email CASE AND SESSION INFORMATION Type of Case ArbitrationMediation Is the Case pending in court? Is the case court ordered? Court Cause # Judge Trial Date Session Full Day Half Day Patterson ADR thanks you for selecting us to assist you. Please contact us regarding any questions at glenn@patterson-adr.com or call 713.961.9688.