en-US1. Which party is sending in the 037ling documents? en-US(check one)en-US en-US Consumer en-US Business en-US2. Brie036y explain the dispute:en-US3. Specify the amount of money in dispute, if any: $ en-US4. State any other relief you are seeking: en-US Attorney Fees en-US Interest en-US Arbitration Costs en-US Other; explain: en-US5. Identify the requested city and state for the hearing if an in-person hearing is held: en-USCity: en-US State: en-US6. Please provide contact information for both the Consumer and the Business. Attach additional sheets or forms as needed.en-USConsumer: en-USName: en-USAddress: en-USCity: en-USState: en-USZip Code: en-USTelephone: en-USFax: en-USEmail Address: en-USConsumer222s Representative (if known): en-USName: en-USFirm: en-USAddress: en-USCity: en-USState: en-USZip Code: en-USTelephone: en-USFax: en-USEmail Address: en-USBusiness:en-USName: en-USAddress: en-USCity: en-USState: en-USZip Code: en-USTelephone: en-USFax: en-USEmail Address: en-USComplete this form to start arbitration under an arbitration agreement in a contract. American LegalNet, Inc. www.FormsWorkFlow.com en-USBusiness222 Representative (if known):en-USName: en-USFirm: en-USAddress: en-USCity: en-USState: en-USZip Code: en-USTelephone: en-USFax: en-USEmail Address: en-USDate: en-US7. Send a copy of this completed form to the AAA together with: 225 þ A clear, legible copy of the contract containing the parties222 agreement to arbitrate disputes; 225 þ The proper 037ling fee (037ling fee information can be found in the Costs of Arbitration section of the Consumer Arbitration Rules); and 225 þ A copy of the court order, if arbitration is court-ordered. 8. þ Send a copy of the completed form and any attachments to all parties and retain a copy of the form for your records. en-USTo 037le by mail, send the initial 037ling documents and the 037ling fee to: AAA Case Filing Services, 1101 Laurel Oak Road, Suite 100, en-US en-USVoorhees, NJ 08043. en-USTo 037le online, visit en-USwww.adr.orgen-US and click on en-USFile or Access Your Caseen-US and follow directions. To avoid the creation of duplicate 037lings, en-USthe AAA requests that the 037ling documents and payment be submitted together. When 037ling electronically, no hard copies are required. en-USPursuant to Section 1284.3 of the California Code of Civil Procedure, consumers with a gross monthly income of less than 300% of en-USthe federal poverty guidelines are entitled to a waiver of arbitration fees and costs, exclusive of arbitrator fees. This law applies to all en-USconsumer agreements subject to the California Arbitration Act, and to all consumer arbitrations conducted in California. If you believe en-USthat you meet these requirements, you must submit a completed Af037davit for Waiver of Fees, available on our website. American LegalNet, Inc. www.FormsWorkFlow.com