JAMS Instructions Arbitration Demand

User Manual: JAMS instructions Terms and Conditions | Electrolux

Open the PDF directly: View PDF .
Page Count: 7

Download
Open PDF In Browser	View PDF

Demand for Arbitration Form
Instructions for Submittal of Arbitration to JAMS

INSTRUCTIONS
Please submit this form to your local JAMS Resolution Center. Once the below items
are received, a JAMS professional will contact all parties to commence and coordinate
the arbitration process, including the appointment of an arbitrator and scheduling a
hearing date.

1-800-352-JAMS
www.jamsadr.com

If you wish to proceed with an arbitration by executing and serving a Demand for Arbitration on the appropriate
party, please submit the following items to JAMS with the requested number of copies:
A. Demand for Arbitration (2 copies)
B. Proof of service of the Demand on the appropriate party (2 copies)
C. Entire contract containing the arbitration clause (2 copies)
•
To the extent there are any court orders or stipulations relevant to this arbitration demand, e.g. an order compelling arbitration, please also include two copies.
D. Initial non-refundable filing fee
•
For two-party matters, the filing fee is $1,200. For matters involving three or more parties, the filing fee is
$2,000. The entire filing fee must be paid in full to expedite the commencement of the proceedings. Thereafter, a Case Management Fee of 12% will be assessed against all Professional Fees, including time spent for
hearings, pre- and post-hearing reading and research and award preparation. For matters involving consumers,
the consumer is only required to pay $250. See JAMS Policy on Consumer Arbitrations Pursuant to Pre-Dispute
Clauses. For matters based on a clause or agreement that is required as a condition of employment, the employee is only required to pay $400. See JAMS Policy on Employment Arbitrations, Minimum Standards of Fairness.
•

A refund of $600 will be issued if the matter is withdrawn within five days of filing. After five days, the filing
fee is non-refundable.
Once completed, please submit to your local JAMS Resolution Center.
Resolution Center locations can be found on the JAMS website at: http://www.jamsadr.com/locations/.

JAMS Demand for Arbitration Form

Page 1 of 7

Demand for Arbitration Form (continued)
Instructions for Submittal of Arbitration to JAMS
TO RESPONDENT (PARTY ON WHOM DEMAND FOR ARBITRATION IS MADE)

Add more respondents on page 6.

RESPONDENT
NAME
ADDRESS

CI T Y

PHONE

STATE

FAX

ZIP

EMAIL

RESPONDENT’S REPRESENTATIVE OR ATTORNEY (IF KNOWN)
R E P R E S E N TAT I V E / AT T ORNEY
FIRM/
COMPANY
ADDRESS

STATE

CITY

PHONE

FAX

ZIP

EMAIL

FROM CLAIMANT

Add more claimants on page 7.

CL A I M A N T
NA M E
ADDRESS

STATE

CITY

PHONE

FAX

ZIP

EMAIL

CLAIMANT’S REPRESENTATIVE OR ATTORNEY (IF KNOWN)
R E P R E S E N TAT I V E / AT T ORNEY

FIRM/
COMPANY

ADDRESS

CITY

PHONE

JAMS Demand for Arbitration Form

STATE

FAX

ZIP

EMAIL

Page 2 of 7

Demand for Arbitration Form (continued)
Instructions for Submittal of Arbitration to JAMS
MEDIATION IN ADVANCE OF THE ARBITRATION
If mediation in advance of the arbitration is desired, please check here and a JAMS Case Manager will assist the
parties in coordinating a mediation session.

NATURE OF DISPUTE / CLAIMS & RELIEF SOUGHT BY CLAIMANT
CL A I M A N T H E R E B Y D E MANDS THAT YOU SUBM IT THE FOLLOWING DISPUTE TO FINAL AND BINDING ARBITRATION.
A M O R E D E TA I L E D S TATEM ENT OF CLAIM S M AY BE ATTACHED IF NEEDED.

AMOUNT IN CONTROVERSY (US DOLLARS)

JAMS Demand for Arbitration Form

Page 3 of 7

Demand for Arbitration Form (continued)
Instructions for Submittal of Arbitration to JAMS
ARBITRATION AGREEMENT

This demand is made pursuant to the arbitration agreement which the parties made as follows. Please cite location of arbitration provision and attach two copies of entire agreement.
A R B I T R AT I O N P R O V I S I ON LOCATION

RESPONSE

The respondent may file a response and counter-claim to the above-stated claim according to the applicable
arbitration rules. Send the original response and counter-claim to the claimant at the address stated above with
two copies to JAMS.

REQUEST FOR HEARING
R E Q U E S T E D L O C AT I O N

REQUESTED RESOLUTION CENTER

ELECTION FOR EXPEDITED PROCEDURES (IF COMPREHENSIVE RULES APPLY)
See: Comprehensive Rule 16.1

By checking the box to the left, Claimant requests that the Expedited Procedures described in JAMS Comprehensive Rules 16.1 and 16.2 be applied in this matter. Respondent shall indicate not later than seven (7) days
from the date this Demand is served whether it agrees to the Expedited Procedures.

SUBMISSION INFORMATION
S I G N AT U R E

DATE

NAME
(PRINT/TYPED)

JAMS Demand for Arbitration Form

Page 4 of 7

Demand for Arbitration Form (continued)
Instructions for Submittal of Arbitration to JAMS
Completion of this section is required for all consumer or employment claims.

CONSUMER AND EMPLOYMENT ARBITRATION

Please indicate if this is a CONSUMER ARBITRATION. For purposes of this designation, and whether this case will be administered in California or elsewhere, JAMS is guided by California Rules of Court Ethics Standards for Neutral Arbitrators,
Standard 2(d) and (e), as defined below, and the JAMS Consumer and Employment Minimum Standards of Procedural Fairness:
YES, this is a CONSUMER ARBITRATION.
NO, this is not a CONSUMER ARBITRATION.
“Consumer arbitration” means an arbitration conducted under a pre-dispute arbitration provision contained in a contract that
meets the criteria listed in paragraphs (1) through (3) below. “Consumer arbitration” excludes arbitration proceedings conducted under or arising out of public or private sector labor-relations laws, regulations, charter provisions, ordinances, statutes, or
agreements.
1.
2.
3.

The contract is with a consumer party, as defined in these standards;
The contract was drafted by or on behalf of the non-consumer party; and
The consumer party was required to accept the arbitration provision in the contract.

“Consumer party” is a party to an arbitration agreement who, in the context of that arbitration agreement, is any of the following:
1.
2.
3.
4.

An individual who seeks or acquires, including by lease, any goods or services primarily for personal, family, or
household purposes including, but not limited to, financial services, insurance, and other goods and services as
defined in section 1761 of the Civil Code;
An individual who is an enrollee, a subscriber, or insured in a health-care service plan within the meaning of section 1345 of the Health and Safety Code or health-care insurance plan within the meaning of section 106 of the
Insurance Code;
An individual with a medical malpractice claim that is subject to the arbitration agreement; or
An employee or an applicant for employment in a dispute arising out of or relating to the employee’s employment
or the applicant’s prospective employment that is subject to the arbitration agreement.

In addition, JAMS is guided by its Consumer Minimum Standards and Employment Minimum Standards when determining
whether a matter is a consumer matter.
If Respondent disagrees with the assertion of Claimant regarding whether this IS or IS NOT a CONSUMER ARBITRATION, Respondent should communicate this objection in writing to the JAMS Case Manager and Claimant within seven (7) calendar
days of service of the Demand for Arbitration.

EMPLOYMENT MATTERS

If this is an EMPLOYMENT matter, Claimant must complete the following information:
Private arbitration companies are required to collect and publish certain information at least quarterly, and make it available
to the public in a computer-searchable format. In employment cases, this includes the amount of the employee’s annual wage.
The employee’s name will not appear in the database, but the employer’s name will be published. Please check the applicable
box below:
Less than $100,000

$100,000 to $250,000

More than $250,000

Decline to State

WAIVER OF ARBITRATION FEES

In certain states (e.g. California), the law provides that consumers (as defined above) with a gross monthly income of less
than 300% of the federal poverty guidelines are entitled to a waiver of the arbitration fees. In those cases, the respondent
must pay 100% of the fees. Consumers must submit a declaration under oath stating the consumer’s monthly income and the
number of persons living in his or her household. Please contact JAMS at 1-800-352-5267 for further information. Note: this
requirement is not applicable in all states.

JAMS Demand for Arbitration Form

Page 5 of 7

Demand for Arbitration Form (continued)
Instructions for Submittal of Arbitration to JAMS
RESPONDENT #2 (PARTY ON WHOM DEMAND FOR ARBITRATION IS MADE)
RE S P O N D E N T
NA M E
ADDRESS

STATE

CITY

PH O N E

FAX

ZIP

EMAIL

RESPONDENT’S REPRESENTATIVE OR ATTORNEY (IF KNOWN)
RE P R E S E N TAT I V E / AT T O RNEY
FIRM/
CO M P A N Y
ADDRESS

CITY

PHONE

STATE

FAX

ZIP

EMAIL

RESPONDENT #3 (PARTY ON WHOM DEMAND FOR ARBITRATION IS MADE)
RE S P O N D E N T
NA M E

ADDRESS

CI T Y

PH O N E

STATE

FAX

ZIP

EMAIL

RESPONDENT’S REPRESENTATIVE OR ATTORNEY (IF KNOWN)
RE P R E S E N TAT I V E / AT T O RNEY
FIRM/
CO M P A N Y
ADDRESS

CITY

PHONE

JAMS Demand for Arbitration Form

STATE

FAX

ZIP

EMAIL

Page 6 of 7

Demand for Arbitration Form (continued)
Instructions for Submittal of Arbitration to JAMS
CLAIMANT #2
CLAIMANT
NAME
ADDRESS

STATE

CITY

PH O N E

FAX

ZIP

EMAIL

CLAIMANT’S REPRESENTATIVE OR ATTORNEY (IF KNOWN)
RE P R E S E N TAT I V E / AT T ORNEY
FIRM/
COMPANY
ADDRESS

CITY

PHONE

STATE

FAX

ZIP

EMAIL

CLAIMANT #3
CL A I M A N T
NA M E

ADDRESS

CI T Y

PH O N E

STATE

FAX

ZIP

EMAIL

CLAIMANT’S REPRESENTATIVE OR ATTORNEY (IF KNOWN)
RE P R E S E N TAT I V E / AT T O RNEY
FIRM/
CO M P A N Y
ADDRESS

CITY

PHONE

JAMS Demand for Arbitration Form

STATE

FAX

ZIP

EMAIL

Page 7 of 7



---

Source Exif Data:

File Type                       : PDF
File Type Extension             : pdf
MIME Type                       : application/pdf
PDF Version                     : 1.6
Linearized                      : No
Create Date                     : 2017:02:21 16:02:41-08:00
Creator                         : Adobe InDesign CC 2015 (Windows)
Modify Date                     : 2017:02:22 12:06:58-08:00
Has XFA                         : No
Language                        : en-US
Tagged PDF                      : Yes
XMP Toolkit                     : Adobe XMP Core 5.6-c015 84.159810, 2016/09/10-02:41:30
Metadata Date                   : 2017:02:22 12:06:58-08:00
Creator Tool                    : Adobe InDesign CC 2015 (Windows)
Instance ID                     : uuid:516c4086-ad87-48c6-8790-0d9271243f00
Original Document ID            : xmp.did:ABF4B21422DCE511BB279D00FD85CFE6
Document ID                     : xmp.id:a536ceb1-38ee-1444-8d4d-f6dae5c5a071
Rendition Class                 : proof:pdf
Derived From Instance ID        : xmp.iid:9d208de8-5bab-164b-af0d-7322c445b058
Derived From Document ID        : xmp.did:9d208de8-5bab-164b-af0d-7322c445b058
Derived From Original Document ID: xmp.did:ABF4B21422DCE511BB279D00FD85CFE6
Derived From Rendition Class    : default
History Action                  : converted
History Parameters              : from application/x-indesign to application/pdf
History Software Agent          : Adobe InDesign CC 2015 (Windows)
History Changed                 : /
History When                    : 2017:02:21 16:02:41-08:00
Format                          : application/pdf
Producer                        : Adobe PDF Library 15.0
Trapped                         : False
State                           : 1
Version                         : 1.1
Page Count                      : 7

EXIF Metadata provided by EXIF.tools