Notice Of Appointment (Page 2 of 4) in pdf

8. Have you ever served as an expert witness or consultant to any

party, attorney, witness or other arbitrator identified in this case?

9. Have any of the party representatives, law firms or parties

appeared before you in past arbitration cases?

10. Are you a member of any organization that is not listed on your

panel biography that may be relevant to this arbitration?

11. Have you ever sued or been sued by either party or its representative?

12. Do you or your spouse own stock in any of the companies involved

in this arbitration?

13. If there is more than one arbitrator appointed to this case, have you had

any professional or social relationships with any of the other arbitrators?

14. Are there any connections, direct or indirect, with any of the case

participants that have not been covered by the above questions?

Should the answer to any question be “Yes”, or if you are aware of any other information that may lead to a justifiable

doubt as to your impartiality or independence or create an appearance of partiality, then describe the nature of the

potential conflict(s) on an attached page.

Please indicate one of the following:

I have conducted a check for conflicts and have nothing to disclose.

I have conducted a check for conflicts and have made disclosures on an attached sheet.

THE ARBITRATOR’S OATH

State of

SS:

County of

I attest that I have reviewed the panel biography which the American Arbitration Association provided to the parties on

this case and confirm it is current, accurate and complete.

I attest that I have diligently conducted a conflicts check, including a thorough review of the information provided to me

about this case to date, and that I have performed my obligations and duties to disclose in accordance with the Rules of the

American Arbitration Association, Code of Ethics for Commercial Arbitrators and/or all applicable statutes pertaining to

arbitrator disclosures.

I understand that my obligation to check for conflicts and make disclosures is ongoing for the length of my service as an

arbitrator in this matter, and that failing to make appropriate and timely disclosures may result in my removal as arbitrator

from the case and/or my removal from the AAA’s Roster of Neutrals.

The Arbitrator being duly sworn, hereby accepts this appointment, and will faithfully and fairly hear and decide the

matters in controversy between the parties in accordance with their arbitration agreement, the Code of Ethics, and the

rules of the American Arbitration Association will make an Award according to the best of the arbitrator’s understanding.

Dated:____________________

Signed: ______________________________________________

Sworn before me this ______ day of _____________, 20__.

Notice Of Appointment Page 2