Notice Of Independent Review (Demand For) (ICANN-International)
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Notice Of Independent Review (Demand For) (ICANN-International) Form. This is a Official Federal Forms form and can be use in International Centre For Dispute Resolution American Arbitration Association.
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INTERNATIONAL CENTRE FOR DISPUTE RESOLUTION
The International Division of the American Arbitration Association
NOTICE OF INDEPENDENT REVIEW
Date:
To: Name (of the party on which this Notice is to be served)
Nationality:
Address:
City:
State/Province:
Telephone:
Facsimile:
Name of Representative: (if known)
Country:
Post Code:
Email:
Name of Firm: (if applicable)
Address:
City:
State/Province:
Telephone:
Facsimile:
Country:
Post Code:
Email:
The named claimant seeks this independent review in accordance with Article IV, Section 3 of the ICANN
Bylaws. The claimant agrees that such Independent Review shall be conducted pursuant to the International
Arbitration Rules (“Rules”) of the International Dispute Resolution Procedures as supplemented per ICANN’s
Bylaws. See Supplementary Procedures at www.icdr.org.
Nature of the Dispute: (attach additional sheets, if necessary)
The Claim or Relief Sought: (the amount, if any)
Type of Business: Claimant
Place of Review Requested:
You are hereby notified that copies of this NOTICE are being filed with the INTERNATIONAL CENTRE FOR DISPUTE
RESOLUTION at its 1633 Broadway, 10th Fl., New York, NY, USA location, with a request that it commence administration of an
independent review. Under the rules, you may file a Statement of Defense within the time specified in the rules after notice from the
administrator.
Name of Claimant:
Nationality:
Address: (to be used in connection with this case)
City:
State/Province:
Telephone:
Facsimile:
Name of Representative: (if known)
Country:
Post Code:
Email:
Name of Firm: (if applicable)
Address:
City:
State/Province:
Telephone:
Facsimile:
Country:
Post Code:
Email:
To begin proceedings, please send two copies of this notice of independent review, with the filing fee as provided for in the Rules, to
the ICDR. Send the original notice to the respondent.
Signature (may be signed by a representative)
Title:
Date:
If you have any questions, please contact the International Centre for Dispute Resolution at
1.888.855.9575 or +1.212.484.4181 or visit our website at www.icdr.org.
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