Republic of New Lemuria

Permanent Court of Arbitration CLICK HERE FOR FILL-IN ACROBAT FORM Printer friendly version SUBMISSION TO DISPUTE RESOLUTION 　 Have you requested a court reporter to be present for this binding arbitration? Yes___ No____ if Yes: Have the parties mutually agreed to a court reporter being present during these binding arbitration proceedings? Yes___ No____ Have the parties made arrangements for the court reporter? Yes___ No____ Provision for any direct payment of court reporter services must be made by the parties with the cost divided according to your mutual agreement. The RNLPCA does not provide for court reporter services, nor the recording of mediation or arbitration proceedings. If Mediation, One Mediator Will be appointed pursuant to the Mediation Rules. If Arbitration, the parties mutually agree on the following number of Arbitrators: One ___ Three ___ We, the parties hereto, mutually agree that, if binding arbitration is selected as indicated above, we will abide by and perform any award rendered hereunder and that a judgment may be entered on the award.　　 　 ___________________________________________ Name of Party ___________________________________________ Address ___________________________________________ City State County Postal Code _______________________ ___________________ Telephone Fax Email: _____________________________________ ___________________________________________ Signature† 　 ___________________________________________ Name of Party ___________________________________________ Address ___________________________________________ City State County Postal Code _______________________ ___________________ Telephone Fax Email: _____________________________________ ___________________________________________ Signature† 　 ___________________________________________ Name of Party ___________________________________________ Address ___________________________________________ City State County Postal Code _______________________ ___________________ Telephone Fax Email: _____________________________________ ___________________________________________ Signature† 　 ___________________________________________ Name of Party ___________________________________________ Address ___________________________________________ City State County Postal Code _______________________ ___________________ Telephone Fax Email: _____________________________________ ___________________________________________ Signature† 　 Expedited Processing and Hearing: The RNLPCA does not ordinarily provide expedited mediation or arbitration services. However, pursuant to Article 9 of the RNLPCA Arbitration Rules, upon a showing of good cause, demonstrating an exceptional urgency and depending on the availability of a mediator or arbitrator, time frames may be shortened. A motion to expedite must be served on all parties under the provisions of Article 9.2. Accordingly, _______________________________ [party name] hereby requests expedited formation of an arbitration tribunal under Article 9 of the RNLPCA Arbitration Rules. A copy of this SUBMISSION TO DISPUTE RESOLUTION form has been sent with all attachments hereto to the other party(ies) addressed as follows: 　 (use separate sheet if necessary) by [ ] postal service mailed______________, and/or [ ] overnight courier, delivered to the courier on_________________, and/or [ ] facsimile transmitted to _______________ on ______________. All parties have [ ] have not [ ] agreed to expedited mediation [ ] and/or arbitration [ ] All parties [ ] have [ ] have not agreed to the date for the expedited hearing. Date andTime Estimates: If applicable, the mutually agreed upon date for the hearing is: ______________________ Mediation: Date Agreed and Now Requested: ____________________ Time: From _____ to _____ Total Time Estimate of Claimant: Specify days ____ hours ____ for the mediation. Total Time Estimate of Respondent: Specify days ____ hours ____ for the mediation. Arbitration: Date Agreed and Now Requested: ____________________ Time: From _____ to _____ Total Time Estimate of Claimant: Specify days ____ hours ____ for the arbitration. Total Time Estimate of Respondent: Specify days ____ hours ____ for the arbitration. Please file three original copies with the RNLPCA, or if by facsimile one legible copy from which copies will be made. * If you have a question as to which rules apply, please contact the RNLPCA. † Signatures of all parties are required for mediation and arbitration, however this form may be submitted in counterparts provided each party has signed at least one of the counterparts. No action will be taken until one mutually signed form or separate signed forms in counterparts are received from all the parties.