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Submission To Resolution Services (AAA-Resolution Services) Form. This is a Official Federal Forms form and can be use in Commercial Business American Arbitration Association.
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American Arbitration Association
SUBMISSION TO RESOLUTION SERVICES
The named parties hereby submit the following dispute for resolution, under the rules of the American Arbitration
Association:
Procedure Selected:
Binding Arbitration
Early Neutral Evaluation
Mediation
Mini-Trial
Fact-Finding
Other
(describe)
Rules to Apply:
Commercial
Construction
International
Employment
Other
(describe)
Nature and Type of Dispute (attach additional sheets if necessary):
Amount of Monetary Claim or Nature of Non-Monetary Claim:
Type of Business: Claimant:
Respondent:
Place of Hearing or Conference:
We agree that, if arbitration is selected, we will abide by and perform any award rendered hereunder and that a
judgment may be entered on the award.
To be completed and signed by all parties
(attach additional sheets if necessary, please remember to obtain signatures)
_________________________________________
__________________________________________
Name of Party
Name of Party
Address
Address
City, State and Zip Code
City, State and Zip Code
_________________________________________
_________________________________________
( ____ ) _______________________________________
Telephone
Fax
______________________________________________
Email address
______________________________________________
Name of the Party’s Attorney or Representative
______________________________________________
Name of Firm (if applicable)
__________________________________________
__________________________________________
( ___ ) ____________________________________
Telephone
Fax
_______________________________________________
Email address
__________________________________________
Name of the Party’s Attorney or Representative
__________________________________________
Name of Firm (if applicable)
______________________________________________
__________________________________________
Address
Address
______________________________________________
__________________________________________
City, Sate and Zip Code
City, Sate and Zip Code
( ____ ) _______________________________________
( ___ ) ____________________________________
Telephone
Fax
___________________________________________________
Email address
Telephone
Fax
_______________________________________________
Email address
______________________________________________
______________________________________
Signed† (may be signed by a representative) Title
Signed† (may be signed by a representative) Title
Date: ___________________________
Date: ____________________________
Please file two signed copies and the non-refundable filing fee with the AAA.
For additional information, please visit our website at www.adr.org
† SIGNATURES OF ALL PARTIES ARE REQUIRED.
Form SRS 6/05
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