Mediator's Notice of Acceptance or Recusal
Ventura Superior Court · Ventura County Local Forms
Verified current as of July 19, 2026
This form is used by a mediator to tell the court whether they agree to handle a case or if they need to step away from it because they have a conflict of interest. A mediator assigned to help two parties settle their dispute would need to fill out this form.
This form must be printed and filled by hand, or opened in Adobe Acrobat.