Notice Of Appointment

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AMERICAN ARBITRATION ASSOCIATION
__________________________________________________________________________________________________
In the Matter of Arbitration Between:
Re:
Claim: $___________
__________________________________________________________________________________________
NOTICE OF APPOINTMENT
To:
It is most important that the parties have complete confidence in the arbitrator’s impartiality. Therefore, please disclose any past
or present relationship with the parties, their counsel, or potential witnesses, direct or indirect, whether financial, professional,
social or of any other kind. This is a continuing obligation throughout your service on the case and should any additional direct
or indirect contact arise during the course of the arbitration or if there is any change at any time in the biographical information
that you have provided to the AAA, it must also be disclosed. Any doubts should be resolved in favor of disclosure. If you are
aware of direct or indirect contact with such individuals, please describe it below. Failure to make timely disclosures may forfeit
your ability to collect compensation. The Association will call the disclosure to the attention of the parties.
You will not be able to serve until a duly executed Notice of Appointment is received and on file with the Association.
Please review the attached Disclosure Guidelines and, after conducting a conflicts check, answer the following questions
and complete the remainder of this Notice of Appointment:
Yes
No
1. Do you or your law firm presently represent any person in a proceeding
involving any party to the arbitration?
2. Have you represented any person against any party to the arbitration?
3. Have you had any professional or social relationship with counsel for
any party in this proceeding or the firms for which they work?
4. Have you had any professional or social relationship with any parties or
witnesses identified to date in this proceeding or the entities for which
they work?
5. Have you had any professional or social relationship of which you are
aware with any relative of any of the parties to this proceeding, or any
relative of counsel to this proceeding, or any of the witnesses identified
to date in the proceeding?
6. Have you, any member of your family, or any close social or business
associate ever served as an arbitrator in a proceeding in which any of
the identified witnesses or named individual parties gave testimony?
7. Have you, any member of your family, or any close social or business
associate been involved in the last five years in a dispute involving
the subject matter contained in the case, which you are assigned?
#1776888

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