COMPULSORY ARBITRATION MOTION PRACTICE MISCELLANEOUS APPLICATION FIRST JUDICIAL DISTRICT OF PENNSYLVANIA MOTION MUST BE ELECTRONICALLY FILED AFTER EXPIRATION OF RESPONSE PERIOD (SEE INSTRUCTIONS). LIST ALL COURT TERMS AND NUMBERS OF CONSOLIDATED CASES IN SPACE DIRECTLY BELOW. COURT TERM AND NUMBER COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY ARBITRATION CENTER 1880 JOHN F. KENNEDY BLVD., 5TH FLOOR PHILADELPHIA, PA 19103 APPLICANT DATE AND TIME OF LISTED HEARING Plaintiff Defendant CAPTION PLAINTIFF'S COUNSEL AND PHONE NO. DEFENDANT'S COUNSEL AND PHONE NO. ADDITIONAL DEFENDANT'S COUNSEL AND PHONE NO. 1. Set forth requested relief 2. Set forth the specific basis for the request 3. On or after , the within Application will be filed with the Arbitration Center. 4. You must submit a Response to me by Application). , for attachment to the Application (within ten (10) days of mailing of copy of 5. A copy of this Application was mailed/delivered/faxed to opposing counsel, on . A Response was received and is attached hereto , Esquire No Response was received. 6. Other I hereby certify the above is true and correct. Signature of Counsel for Applicant Filing Date ORDER AND NOW, this day of , 20 , upon consideration of the within Application, it is hereby ORDERED and DECREED that: the Application is denied. the within case is transferred to the Non-Jury List; the within case may be transferred to the Jury List provided the jury fee is paid within 10 days; the Applicant is granted leave to file a Motion no later than ; the Applicant's request to mold the award of the Arbitrators is denied; the Applicant's request to mold the award of the Arbitrators is granted. See detailed order attached hereto; the case is deferred ; Other 01-403 (Rev. 03/09) J. American LegalNet, Inc. www.FormsWorkflow.com