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Application To Serve As Arbitrator In Court Mandatory Arbitration Program ORS 36.400 - Oregon
| Application To Serve As Arbitrator In Court Mandatory Arbitration Program ORS 36.400 Form. This is a Oregon form and can be used in Circuit Court Multnomah Local County . |
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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR M ULTNOM AH COUNTY ARBITRATION COM M ISSION APPLICATION TO SERVE AS ARBITRATOR IN COURT M ANDATORY ARBITRATION PROGRAM ORS 36.400 NEW APPLICATION UPDATED APPLICATION NAM E: _____________________________________________________________________ Last First M .I. Suffix ________________________________________ ________________________________________ ________________________________________ ________________________________________ ADDRESS: PHONE: ______________________ FAX: ____________________ OSB# _______________ EM AIL: ______________________ W EBSITE: ____________________________________ CURRENT LAW FIRM OR PLACE OF EM PLOYM ENT: _____________________________________________________________________________ FORM ER LAW FIRM (S) OR PLACES OF EM PLOYM ENT (last 5 years): ______________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ __________________________________________________ CURRENT PRINCIPAL AREAS OF PRACTICE: (1) _____________________________________________________________________ (2) _____________________________________________________________________ (3) _____________________________________________________________________ KNOW N CONFLICTS: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 30-19 (02/07) Page 1 APPLICATION TO SERVE AS ARBITRATOR IN COURT'S M ANDATORY ARBITRATION PROGRAM American LegalNet, Inc. www.FormsWorkFlow.com TRAINING and EXPERIENCE: I have attended a Commission approved arbitration training within the last three years. I am qualified to serve as a M EDIATOR under the OJD JUDICIAL DEPARTM ENT COURTCONNECTED M EDIATOR QUALIFICATION RULES and have submitted an application for courtconnected mediator status. I belong to the following bars, bar sections or organizations: ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________ I have the following additional experience or training: ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________ COM PETENCY I certify that, as indicated below, I am either familiar with and competent in the following categories of law, and willing to arbitrate such cases, or either unwilling or unqualified to do so. I certify that I have acknowledged any conflicts on the other side of this application. (Competency means a knowledge of and current familiarity with the statutes, case law, state and local rules, and procedures in a discrete area of law.) Competent And Willing: TORT: Auto Civil rights Complex litigation Employment/wage General negligence Intentional Legal negligence M edical negligence Products liability Property damage __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ Not qualified or Not Willing: __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ 30-19 (02/07) Page 2 APPLICATION TO SERVE AS ARBITRATOR IN COURT'S M ANDATORY ARBITRATION PROGRAM American LegalNet, Inc. www.FormsWorkFlow.com CONTRACT: Agency, Partnership, Corporation Complex litigation Construction Consumer Debtor/Creditor General Business Insurance contract Sales Secured transaction Securities __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ DOM ESTIC RELATIONS: Property disputes: __________ __________ OATH OF ARBITRATOR I certify that I have reviewed the Oregon Revised Statutes, Uniform Trial Court Rules, Supplemental Local Rules for M ultnomah County, and the Code of Judicial Ethics relating to arbitrators and arbitration, and will comply with these fully if selected; I am a member in good standing of the Oregon State Bar, and have been admitted to any Bar for a minimum of five (5) years, or that I am a retired or senior judge. I solemnly affirm that I will faithfully hear and examine the matters in controversy, and that I w ill make a just award to the best of my understanding. I certify that I have complied with the training requirements for certification as an arbitrator, pursuant to the Arbitration Commission Order signed M ay 2, 2005. DATE: _________________________ ___________________________________ Signature Return to: Arbitration Clerk Circuit Court of the State of Oregon For M ultnomah County 1021 S.W . Fourth Avenue Portland, OR 97204-1123 30-19 (02/07) Page 3 APPLICATION TO SERVE AS ARBITRATOR IN COURT'S M ANDATORY ARBITRATION PROGRAM American LegalNet, Inc. www.FormsWorkFlow.com
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