American Arbitration Association Exercise Of Right printable pdf download

American Arbitration Association Exercise Of Right

AMERICAN ARBITRATION ASSOCIATION

CLASS ARBITRATION

Re: AAA Case #73 516 Y 000065 13

Cordova v. United Education Institute

EXERCISE OF RIGHT

NOT TO PARTICIPATE IN CLASS ACTION

File this form only if you wish to exclude yourself from the class arbitration. If you file this form, you will not

participate further in the class arbitration.

I have received the notice of the class arbitration, including an explanation of my right to be excluded from this

class arbitration.

I do not wish to remain a member of the class in the case of Cordova v. United Education Institute (UEI).

I understand that by signing this form:

(1) I will not receive any monetary benefits of any favorable outcomes in the arbitration, including any

awards or settlements;

(2) I will not be bound by any adverse decision in this class arbitration;

(3) I will not be represented by the attorneys for the class members;

(4) I may pursue at my own expense whatever claims I may have against the Respondent UEI,

whatever the decision at arbitration;

(5) I understand that I will be responsible for any claim I might file, and that any claim would be subject

to any defenses UEI might have.

Your signature: ________________________________

Date: ______________________

Please type or print

Your name: ______________________________________

Address: ________________________________________

City: ____________________________________________

State, zip code: ___________________________________

Telephone: _____________________________________

If you wish to exclude yourself from this arbitration, mail this form to: Cordova v. United Education Institute, c/o

Simpluris, Inc., PO Box 26170, Santa Ana, CA 92799.

American Arbitration Association Exercise Of Right