FILED UNDER SEAL U.S. DISTRICT COURT NORTHERN DISTRICT OF NEW YORK Plaintiff, v. Civil Case No.______________ Presiding Judge_____________ Defendant. ___________________________________ ARBITRATION AWARD* An arbitration hearing was held on _______________in accordance with Local Rule 83.7-5 of the Northern District of New York. After due consideration of the arguments from each party it is hereby declared that relief is awarded to __________________________________________ (prevailing party) in the amount of $__________________ and/or other relief as follows: ___________________________________________________________________________ ___________________________________________________________________________. (Statement of other relief) AWARDED AGAINST _______________________________________________________ (name of party) __________________ Date of Award ____________________________________ (Signature of Arbitrator) ____________________________________ ____________________________________ (Address) ____________________________________ (Phone Number) *This award is exem pt from the electronic filing requirements of G enera l Ord er 22 and m ust be filed under seal with the Clerk of Court. If either party files and serves a written demand for a trial de novo within thirty (30) days of entry of judgment on the award, the Clerk shall immediately vacate the judgment on the award. The award will then remain sealed and the action shall proceed in the normal manner before the assigned judge. American LegalNet, Inc. www.USCourtForms.com