30-14 () APPEAL OF ARBITRATION AWARD AND REQUEST FOR TRIAL IN THE CIRCUIT COURT OF THE STATE OF OREGONFOR THE COUNTY OF MULTNOMAH 1021 SW 4TH AVENUE, PORTLAND OR 97204 Case No. Plaintiff/Petitioner APPEAL OF ARBITRATION AWARD vs. AND REQUEST FOR TRIAL Defendant/Respondent The arbitration award in the above captioned case was filed on the day of 20 . A new trial for all parties on all issues is hereby requested by Plaintiff or Defendant This appeal is filed within 20 days of filing of the award as provided by ORS 3 4 . 425 (2)(a), an d the time provided by ORCP 10C, if applicable, and is accompanied by the required first day trial fee and deposit. Date Party or Attorney (OSB No. ) Address: Phone: Certification I hereby certify that the above information is accurate and that I have served true copies of this notice on all parties/attorneys of record at the addresses as follows: Date Party or Attorney American LegalNet, Inc. www.FormsWorkFlow.com