Arbitration Questionnaire

I am (or represent) a:

Personal Info

Property Under Dispute

This Property is a:

Arbitration Questionnaire (cont'd)

If you are an attorney, state the name and address of each of your clients in this case.
If you are NOT an attorney , go to the next page by scrolling down and click the green Next button

Client 1 Info (required if you are an attorney)

Client 2 Info

Client 3 Info

Arbitration Questionnaire (cont'd)

If this case is not filed with a court, fill out SECTION A.
If this case is filed with a court, fill out SECTION B down the page


Name and Address of Each Party
Party 1 State: Colorado

State: Colorado

Party 3 NameState: Colorado


Name of each Plaintiff, defendant, cross-complainant, cross-defendant, intervenor, interpleader and lein claimant (1 per line):

Arbitration Questionnaire (cont'd)

State the name, mail address, e-mail address, facsimile, and telephone numbers of each attorney and self-represented party in this case and, for each attorney, identify each of that attorney’s clients in this case.
Use one box for each set of information. For instance, each box should be formatted like this:

Attorney Name
Attorney Street Address
Attorney City, State Zipcode
Attorney Email
Attorney Phone
Attorney Fax
Client's Name

There is no need copy the above text into the box, just maintain the formatting.

Attorney Names

Arbitration Questionnaire

Identify any attorneys who previously represented any party in this
case. One attorney per line.


State the name and address of any persons who, while not a party to this case, might have a significant interest in its outcome. Put one party in each box, according to this format:

Person's Name
Person's street address
Person's City
Person's State
Person's Zip
Person with interest


State the names and addresses of any potential witnesses in this case. Enter each witness name and address in its own box, and use this format:

Witness Name
Witness Street
Witness City
Witness State
Witness zip

Witness 1

Witness 2



How many days do you estimate the arbitration hearing should take?

On what dates are you and your client(s) available to attend a hearing?

Do you want the arbitrator to issue a tentative opinion first?

Identify any pre-hearing matters the arbitrator may need to resolve?

Describe each relationship, contact, and/or dealing, if any, which you and/or your client(s) have at any time had with ContractArbitration™.

By checking this box I hereby certify that the statements made on this form and in the attached documents are true and complete to the best of my knowledge, information and belief under penalty of law.

Upon clicking the Send button, you will be redirected to our Paypal portal page. The cost of the arbitration process is $100. Note that no applications can be processed until the application fee has been paid