STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS SUPERIOR COURT REJECTION OF ARBITRATOR'S AWARD FOR CASES CERTIFIED TO ARBITRATION AFTER JANUARY 1, 2014 Providence/Bristol County Kent County Plaintiff Defendant Washington County Newport County Civil Action File Number ________________________________________ (Name of the Plaintiff Defendant) in the aboveentitled case rejects the Arbitrator's Award which was filed on ____________________________________ (date). REGISTERED USERS SHALL ELECTRONICALLY FILE THIS REJECTION AND THE REQUIRED $300 REJECTION FEE WITHIN THIRTY (30) DAYS OF THE FILING OF THE AWARD WITH COPIES CERTIFIED TO OPPOSING COUNSEL. ALL OTHERS MUST MAIL THIS THIS REJECTION AND THE REQUIRED $300 REJECTION FEE WITHIN THIRTY (30) DAYS OF THE FILING OF THE AWARD WITH COPIES CERTIFIED TO OPPOSING COUNSEL TO THE ARBITRATION OFFICE AT THE LICHT JUDICIAL COMPLEX, 250 BENEFIT STREET, ROOM 531, PROVIDENCE, RI 02903. Rhode Island Bar Number /s/ __________________________________________________________ Attorney for the Plaintiff Defendant or Self-represented litigant Telephone Number: CERTIFICATE OF SERVICE Date I hereby certify that, on the ______ day of _____________________, 20____: I filed and served this document through the electronic filing system on the following: __________________________________________________________________________________. The document electronically filed and served is available for viewing and/or downloading from the Rhode Island Judiciary's Electronic Filing System. I served this document through the electronic filing system on the following: __________________________________________________________________________________. The document electronically served is available for viewing and/or downloading from the Rhode Island Judiciary's Electronic Filing System. I mailed or hand-delivered this document to the attorney for the opposing party and/or the opposing party if self-represented, whose name is __________________________________________ at the following address ______________________________________________________________. /s/ ___________________________________ Name Superior-34A (revised February 2015) American LegalNet, Inc. www.FormsWorkFlow.com