Official Federal Forms > American Arbitration Association > Commercial Business
Supplementary Procedures For Consumer-Related Disputes (For Use Only In California) - Official Federal Forms
| Supplementary Procedures For Consumer-Related Disputes (For Use Only In California) Form. This is a national form and can be used in Commercial Business American Arbitration Association . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
AMERICAN ARBITRATION ASSOCIATION SUPPLEMENTARY PROCEDURES FOR CONSUMER-RELATED DISPUTES (FOR USE ONLY IN CALIFORNIA) Pursuant to Section 1284.3 of the California Code of Civil Procedure, consumers with a gross monthly income of less than 300% of the federal poverty guidelines are entitled to a waiver of arbitration fees and costs, exclusive of arbitrator fees. This law applies to all consumer agreements subject to the California Arbitration Act, and to all consumer arbitrations conducted in California. If you believe that you meet these requirements, you must submit to the AAA a declaration under oath regarding your monthly income and the number of persons in your household. Please contact the AAA's Case Filing Services at 1-877-495-4185, if you have any questions regarding the waiver of administrative fees. How to file a claim; consumers should: · Fill out this form and retain one copy for your records. · Mail a copy of this form and your check or money order made payable to the AAA, to: AAA's Case Filing Services, 1101 Laurel Oak Road Suite 100, Voorhees, NJ 08043. Please consult Section C-8 of the Supplementary Procedures for ConsumerRelated Disputes for the appropriate fee. · Send a copy of this form to the business. How to file a claim; businesses should: · Fill out this form and retain one copy for your records. · Mail a copy of this form and your check or money order made payable to the AAA, to: AAA's Case Filing Services, 1101 Laurel Oak Road Suite 100, Voorhees, NJ 08043. Please consult Section C-8 of the Supplementary Procedures for ConsumerRelated Disputes for the appropriate fee. · Send a copy of this form to the consumer by registered mail, return receipt requested. 1 How is this claim being filed? Check only one. [ ] By request of the consumer (A copy of the arbitration agreement must be attached. A copy of this form must also be sent to the business) [ ] By request of the business (A copy of the arbitration agreement must be attached. A copy of this form must also be sent to the consumer by registered mail return receipt requested) -or[ ] By mutual agreement ("submission") of the parties (both parties must sign this form) 2 3 4 Briefly explain the dispute. Do you believe there is any money owed to you? [ ] Yes Are you seeking any other relief? [ ] Yes If yes, what is it? [ ] No [ ] No If yes, how much? ________________________ 5 Preferred hearing locale (if an in-person hearing is held) ______________________________________________ 6 Amount enclosed: ______________________________________________ 7 Fill in the following information: Consumer Name of Consumer ______________________________ Address _______________________________________ City/State/Zip___________________________________ Telephone _____________________________________ Fax ___________________________________________ Email Address ______________________________ Signature of Consumer ___________________________ Representative __________________________________ Firm __________________________________________ Address _______________________________________ City/State/Zip___________________________________ Telephone _____________________________________ Fax ___________________________________________ Email Address ______________________________ Business Name of Business ___________________________ Address ___________________________________ City/State/Zip_______________________________ Telephone _________________________________ Fax _______________________________________ Email Address _______________________________ Signature of Business ________________________ Representative _____________________________ Firm _____________________________________ Address ___________________________________ City/State/Zip_______________________________ Telephone _________________________________ Fax _______________________________________ Email Address _______________________________ American LegalNet, Inc. www.FormsWorkFlow.com AAA Case Filing Services 1-877-495-4185 www.adr.org
|
|||||||
