IN THE COURT OF COMMON PLEAS OF WESTMORELAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW CERTIFICATE OF READINESS FOR ARBITRATION ________________________________ ________________________________ CASE NO. ________________________ Plaintiff V ___________________ _______________________________ If "YES" WILL THE HEARING TAKE LONGER THAN 2 HOURS? YES ______ NO ______ ESTIMATED TIME FOR HEARING ____ HRS. _______________________________ Defendant _______________________________ Additional Defendant TO THE COURT ADMINISTRATOR: I hereby certify that the above-captioned case is ready for Arbitration. place the above captioned case on the next available Arbitration List. Please ____________________________________________________________________________________ Plaintiff's Attorney Address Phone No. ____________________________________________________________________________________ Defendant's Attorney Address Phone No. ____________________________________________________________________________________ Additional Defendant's Attorney Address Phone No. __________________________________________ Attorney Filing Praecipe Check Appropriate Box: Plaintiff Counsel Defendant's Counsel Add'l. Defendant Counsel A COPY OF THIS CERTIFICATE MUST BE SERVED ON ALL OTHER PARTIES. NOTIFY THE COURT ADMINISTRATOR OF ANY SPECIAL SCHEDULING NEEDS. WHITE - Prothonotary Revised 1/01/07 PLEASE YELLOW - Counsel PINK - Court Administrator American LegalNet, Inc. www.FormsWorkflow.com