Nevada > County > Clark > District Court > Arbitration
Request For Exemption From Arbitration 7 - Nevada
| Request For Exemption From Arbitration Form. This is a Nevada form and can be used in Arbitration District Court Clark County . |
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REQT Attorneys Name Attorneys Bar Number Attorneys Firm Name Attorneys Address Attorneys Phone Number Party Attorney Represents DISTRICT COURT CLARK COUNTY, NEVADA ) ) ) P laintiff, ) ) v. ) CASE NO. A ) DEPT NO. ) D efendants. ) __________________________________________) ARB ITRATION REQUEST FOR EXEMPTION FROM ARBITRATION (plaintiff/defendant) h ereby requests the above entitled matter be exempted from arbitration pursuant to Nevada Arbitration Rules 3 and 5, as this case: 1. presents a significant issue of public policy; 2. involves an amount in excess of $40,000 per Plaintiff, exclusive of interest and costs; 3. presents unusual circumstances which constitute good cause for removal from the program. A specific summary of the facts which supports my contention for exemption is as should include nature of case; amount of damages sought; if personal injury case, include injuries sustained and total amount of medicals to date; may attach copies of key medical records (do not attach all the medical records); if causation a problem, include f o l l o w s : [ s h oul d i n cl u de n a tu r e of c a s e ; am oun t of dam a g e s s ou g h t; i f p e r s on al i nj u r y . ARB FORM 7 (1 of 2) American LegalNet, Inc. www.USCourtForms.com <<<<<<<<<********>>>>>>>>>>>>> 2 CASE NAME/CASE # I hereby certify pursuant to N.R.C.P. 11 this case to be within the exemption(s) marked above and am aware of the sanctions which may be imposed against any attorney or party who without good cause or justification attempts to remove a case from the arbitration program. DATED this day of , 2005. A TTORNEY BAR NUMBER A DDRESS P ARTY CERTIFICATE OF MAILING I hereby certify that on the day of , 2005, I mailed a copy of the foregoing REQUEST FOR EXEMPTION FROM ARBITRATION in a sealed envelope, to the following counsel of record and that postage was fully prepaid thereon: EMPLOYEE OF ATTORNEY NOTE: REQUEST FOR EXEMPTION TO BE FILED WITH THE ADR OFFICE AND SERVED ON ANY PARTY WHO HAS APPEARED IN THE ACTION. NOTE: THE ADR COMMISSIONER WILL CO NSIDER ANY WRITTEN OPPOSITION TO REQUEST, IF FILED WITHIN FIVE (5) DAYS OF SERVICE OF THE REQUEST; SAID OPPOSITION MUST BE SERVED ON THE MOVANT AND FILED WITH THE ADR OFFICE IN A TIMELY FASHION TO BE CONSIDERED. ARB FORM 7 (2 of 2) American LegalNet, Inc. www.USCourtForms.com
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