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Notice Of Arbitration 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 ARBITRATION
MEDIATION is a non-binding process. The mediator assists the parties in working out a solution that is acceptable to them. If you
would like the ICDR to contact the other parties to determine whether they wish to mediate this matter, please check this box.
There is no additional administrative fee for this service.
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, a party to an arbitration agreement contained in a written contract, dated
arbitration under the
International Dispute Resolution Procedures
providing for
Commercial Arbitration Rules and Mediation Procedures (AAA)
Procedures for Cases under the UNCITRAL Arbitration Rules
Other (please specify):
hereby demands arbitration.
Nature of the Dispute: (attach additional sheets, if necessary)
The Claim or Relief Sought: (the amount, if any)
Type of Business: Claimant:
Respondent:
Claimant’s Request: No. of Arbitrators:
Place of Arbitration:
Language:
You are hereby notified that copies of our arbitration agreement and this NOTICE are being filed with the INTERNATIONAL CENTRE FOR
DISPUTE RESOLUTION at Case Filing Services, 1101 Laurel Oak Road, Suite 100, Voorhess, NJ 08043 email: casefiling@adr.org, with a request
that it commence administration of the arbitration. 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 demand and the Arbitration Agreement, with the filing fee as provided for in the
rules, to the ICDR. Send the original demand 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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