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Demand For Arbitration - Official Federal Forms

Demand For Arbitration Form. This is a national form and can be used in Commercial Business American Arbitration Association .
 Fillable pdf Last Modified 4/23/2012
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________________________________________________ARBITRATION RULES (ENTER THE NAME OF THE APPLICABLE RULES) Demand for Arbitration MEDIATION: If you would like the AAA to contact the other parties and attempt to arrange mediation, please check this box. There is no additional administrative fee for this service. Name of Respondent Name of Representative (if known) Address: Name of Firm (if applicable): Representative's Address City Phone No. Email Address: State Zip Code Fax No. City Phone No. Email Address: State Zip Code Fax No. The named claimant, a party to an arbitration agreement dated _________________________, which provides for arbitration under the ____________________________________Arbitration Rules of the American Arbitration Association, hereby demands arbitration. THE NATURE OF THE DISPUTE Dollar Amount of Claim $ Other Relief Sought: Arbitration Costs Attorneys Fees Interest Punitive/ Exemplary Other ____________ Standard Fee Schedule Amount Enclosed $ __________ _____ In accordance with Fee Schedule: Flexible Fee Schedule PLEASE DESCRIBE APPROPRIATE QUALIFICATIONS FOR ARBITRATOR(S) TO BE APPOINTED TO HEAR THIS DISPUTE: Hearing locale________________________ (check one) Estimated time needed for hearings overall: __________hours or ___________days Is this a dispute between a business and a consumer? Does this dispute arise out of an employment relationship? Requested by Claimant Locale provision included in the contract Type of Business: Claimant ______________________________ Respondent____________________________ Yes Yes No No If this dispute arises out of an employment relationship, what was/is the employee's annual wage range? Note: This question is required by California law. Less than $100,000 $100,000 - $250,000 Over $250,000 You are hereby notified that a copy of our arbitration agreement and this demand are being filed with the American Arbitration Association with a request that it commence administration of the arbitration. The AAA will provide notice of your opportunity to file an answering statement. Signature (may be signed by a representative) Name of Claimant Address (to be used in connection with this case): City Phone No. Email Address: State Zip Code Fax No. Date: Name of Representative Name of Firm (if applicable) Representative's Address: City Phone No. Email Address: State Zip Code Fax No. To begin proceedings, please send a copy of this Dem and and the Arbitration Agreement, along with the filing fee as provided for in the Rules, to the AAA. Send the original Demand to the Respondent. Please visit our website at www.adr.org if you would like to file this case online. AAA Case Filing Services can be reached at 877-495-4185 American LegalNet, Inc. www.FormsWorkFlow.com
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