Arbitration | Contract Arbitration

Arbitration Questionnaire

I am (or represent) a: TenantLandlord

Personal Info

First NameLast Name

Email AddressStreet AddressCity
State: Colorado
ZipPhone 1Phone 2Fax

Property Under Dispute

This Property is a:
Multi-family (apartment/ condo)Single Family (house/townhouse)OtherIf other, specify:

Rental AddressApartment #Rental CityRental State: Colorado
Rental Zip

Nature of the dispute:
Security DepositLeaseNotice to VacateCondition of PropertyOther

Please provide a concise description of this case (including all claims made, remedies sought, defenses asserted, amounts/interests at issue, and the basic “who, what, when, and where” of the incident(s) giving rise to this case).

State what actions will resolve your complaint:

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)

NameAddressCityState: Colorado
Zipcode

Client 2 Info

NameAddressCityState: Colorado
Zipcode

Client 3 Info

NameAddressCityState: Colorado
Zipcode

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

SECTION A

Name and Address of Each Party
Party 1NameAddressCityState: Colorado
Zip

Party 2 NameAddressCityState: Colorado
Zip

Party 3NameAddressCityState: Colorado
Zip

SECTION B

Court Name

Full Case Name

Case Number:

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

Trial Date

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

Attorney or self-represented party 1

Attorney or self-represented party 2

Attorney or self-represented party 3

Arbitration Questionnaire

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

Attorneys

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

Interested party 1

Interested party 2

Interested party 3

Witnesses

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

Witness

Misc

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?
NoYes
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