DMA Dispute Management & Avoidance
the comprehensive litigation alternative
DMA Dispute Management & Avoidance
the comprehensive litigation alternative
Claimant’s Name___________________________
Address___________________________________
City, State & Zip___________________________
Home Phone_______________________________
Office Phone______________________________
Cell Phone________________________________
Fax_______________________________________
E-Mail____________________________________
Respondent’s Name_________________________
Address___________________________________
City, State & Zip___________________________
Home Phone_______________________________
Office Phone______________________________
Cell Phone________________________________
Fax_______________________________________
E-Mail____________________________________
Herein after known as CLAIMANT
Jobsite Address________________________________________________Jobsite Phone___________________
The parties as listed above, hereby jointly agree to Arbitrate their dispute and submit the following issue(s) to binding On Site Arbitration pursuant to the Rules and Procedures of DMA Dispute Management & Avoidance, which shall act as tribunal.
CLAIM BY CLAIMANT
Describe the nature of the dispute, attach additional sheets as necessary:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
CLAIM OR RELEIF SOUGHT BY CLAIMANT
Describe the claim (dollar amount) or remedy sought (action):
__________________________________________________________________________________________________________________________________________________________________________________________________________________
COUNTERCLAIM
Please submit a copy of your arbitration clause, your entire evidence package along with this document pursuant to section 13.3 of the Rules and Procedures, & mail to: 800 South P.C.H. Suite 8-281, Redondo Beach, CA 90277 or scan & email to the email address in the website trustDMA.com
I/We agree that the Arbitrators decision shall be binding. I/We shall abide by any Award rendered hereunder and that a civil judgement may be entered upon the Award.
Claimant Signature_________________________ Date_____________________________________
Herein after known as RESPONDENT
Claimant Signature_________________________ Date_____________________________________