SUPERIOR COURT OF THE STATE OF WASHINGTON FOR WHATCOM COUNTY | | No. Plaintiff/Petitioner, | vs. | | STIPULATION TO & ORDER APPOINTING ARBITRATOR | Defendant/Respondent | | THE UNDERSIGNED ATTORNEYS/PARTIES STIPULATE: That the following person has been selected and has agreed to serve as a arbitrator: NAME: ADDRESS/PHONE: IT IS THEREFORE ORDERED that this case is transferred to arbitration under the provisions of WC MAR. DONE IN OPEN COURT this the day of , 20 . Judge SUBMITTED BY: SIGNED: Signed: Attorney for Plaintiff Attorney for Defendant Typed Name: Typed Name: Address/Phone: Address/Phone: OTHER ATTORNEY/PARTY: OTHER ATTORNEY/PARTY: Signed: Signed: Typed Name: Typed Name: Address/Phone: Address/Phone: Attorney for: Attorney for: The original, signed stipulation must be returned to : Director of Arbi tration, Whatcom County Superior Court, 311 Grand Avenue,Bellingham, Washington 98225 (DO NOT FILE WITH COUNTY CLERK) APPENDIX D Stipulation to & Order Appointing Arbitrator.doc Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com