GAMS NOTICE OF REQUEST FOR ARBITRATION
GAMS Arbitration Procedure | GAMS Arbitration Timeline | GAMS Request For Arbitration | GAMS Post Dispute Agreement | GAMS Confidentiality Policy | GAMS Arbitration Locations | GAMS Arbitration Panel | GAMS Arbitration Rules | GAMS Arbitration Fees | Arbitration Clause | Mediation Followed by Arbitration
Printable
Version Click Here
Global Arbitration
and Mediation Service
NOTICE OF REQUEST FOR ARBITRATION
To Respondents: demand. for arbitration of the specified
dispute between you is hereby made by the below named
Claimant (s) . Claimant (s) further demand that said
arbitration be administered by Global Arbitration
and Mediation Service (“GAMS”) according
to its arbitration rules effective on the date of
filing this demand. FAILURE TO RESPOND TO THIS DEMAND
MAY RESULT IN AN AWARD BEING RENDERED AGAINST YOU
AND CONFIRMATION OF THAT AWARD AS A LEGAL JUDGMENT
AGAINST YOU BY A COURT OF COMPETENT JURISDICTION.
CLAIMANT INFORMATION
[Please type or print legibly]
NAME:__________________________________ COMPANY_________________________________
ADDRESS:________________________________________________________________________
CITY:__________________________________STATE_______________
ZIP CODE______________
COUNTRY:___________________________________________________
TELEPHONE:____________________________FAX:_____________________________
EMAIL:_________________________
I Wish to represent myself I will have a representative
CLAIMANT’S REPRESENTATIVE
NAME:__________________________________ COMPANY________________________________
ADDRESS:________________________________________________________________________
CITY:______________________________STATE________________
ZIP CODE________________
COUNTRY:______________________________________________________
TELEPHONE:____________________________ FAX:__________________________
EMAIL:___________________________
Additional Claimant Information Attached
RESPONDENTS INFORMATION
NAME:___________________________________ COMPANY________________________________
ADDRESS:________________________________________________________________________
CITY:__________________________________STATE______________
ZIP CODE_____________
COUNTRY:________________________________________________________
TELEPHONE:______________________________FAX:____________________________
EMAIL:______________________________________
RESPONDENTS INFORMATION
NAME:___________________________________ COMPANY________________________________
ADDRESS:________________________________________________________________________
CITY:__________________________________STATE______________
ZIP CODE_____________
COUNTRY:__________________________________________________________
TELEPHONE:______________________________FAX:____________________________
EMAIL:______________________________________
NATURE OF CLAIM (attach copies of the arbitration
agreement to this notice):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
RELIEF REQUESTED (Specify the amount in controversy
and all claims for relief):_________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
LOCATION REQUESTED FOR HEARING:_______________________________________________
Any objection to this arbitration or to the administration
of the arbitration of the dispute described herein
by GAMS must be filed with GAMS within 7 days or
is deemed waived. By signing this I agree to submit
the above specified dispute to binding arbitration
administered by GAMS and agree to comply with all
GAMS Arbitration Rules, policies and rulings. Persons
signing this document on behalf of an entity warrant
their authority to bind that entity.
DATE:_________________
SIGNED (CLAIMANT)________________________________________________________
TITLE:____________________________________________________________________
COMPANY:________________________________________________________________
At _______________________________________________________________________.
(City and State where signed)
ADDITIONAL CLAIMANT INFORMATION
NAME:_____________________________ COMPANY_____________________________
ADDRESS:________________________________________
CITY:____________________ STATE____________ ZIP
CODE_____________
COUNTRY:____________________________
TELEPHONE:________________________ FAX:________________________
EMAIL:_______________________
I wish to represent myself I will have an representative
CLAIMANT’S REPRESENTATIVE
NAME:_____________________________ COMPANY_____________________________
ADDRESS:___________________________________________________________________
CITY:____________________STATE_______________ ZIP
CODE____________
COUNTRY:_____________________________________________
TELEPHONE:________________________ FAX:________________________
EMAIL:_______________________________
This form should be reproduced to name additional
claimants.
ADDITIONAL RESPONDENTS INFORMATION
NAME:______________________________ COMPANY_____________________________
ADDRESS:________________________________________________________________
CITY:____________________ STATE____________ ZIP
CODE_____________
COUNTRY:__________________________________________
TELEPHONE:________________________ FAX:__________________________
EMAIL:____________________________
NAME:______________________________ COMPANY_____________________________
ADDRESS:________________________________________________________________
CITY:__________________________ STATE____________
ZIP CODE_____________
COUNTRY:_____________________________________________
TELEPHONE:________________________ FAX:____________________________
EMAIL:_________________________________
This form should be reproduced to name additional
respondents.
INSTRUCTIONS FOR USE
1. Fill out this form by typing or printing clearly
in ink.
2. Attach copies of the contract between the parties which contains the arbitration
clause or Post Dispute Arbitration Agreement.
3. File the original Notice of Request for Arbitration and attachments along
with the appropriate filing fee with GAMS.
4. The assigned Case Administrator will contact you to begin the arbitration
process.
Printable
Version Click Here
Global Arbitration And Mediation Service (GAMS) Provides Fair, Just, Simple, Quick And Effective Dispute Resolution