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Arbitrators Fee Statement CV-E-ARB-125 - California
| Arbitrators Fee Statement Form. This is a California form and can be used in Arbitration Sacramento Local County . |
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SUPERIOR COURT OF CALIFORNIA County of Sacramento 720 Ninth Street, Room 102 Sacramento, CA 95814-1380 (916) 874-5522--Website www.saccourt.ca.gov Arbitrator (Name and Address): For Court Use Only Telephone No.: E-Mail Address: Plaintiff: Defendant: Fax No.: Case Number: Arbitrator's Fee Statement Pursuant to rule 3.814(d), California Rules of Court (CRC), I served as Arbitrator and performed all official responsibilities herein and declare I am in good standing with the California State Bar. VENDOR ID NUMBER: ARBITRATION HEARING DATE: ARBITRATION AWARD DATE: HOURS IN HEARING: PREPARATION HOURS: TOTAL HOURS: Settlement Date: _____________ Mediation Date: _____________ Arbitrator Signature:_____________________________________ Date:_________________ In accordance with CRC 3.819(c) I hereby affirm that the above entitled information is true and correct and request payment for services rendered as Arbitrator in this matter. For Court Use Only As defined in the CRC/Local Rules; the fee of $________ is approved for payment on:________. Arbitration Administrator / Representative: ______________________________ Claim Date: ______________________ Arbitrator's Fee Statement CV\EARB125 (Rev 02.13.09) Local Form Adopted for Mandatory Use Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com
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