Arbitration Award Or Settlement Notice Form - County Of Deschutes

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IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF DESCHUTES
Court Mandatory Arbitration Program ORS 36.400
__________________________________,
)
Plaintiff/Petitioner,
)
CASE #______________________
)
vs.
)
)
ARBITRATION AWARD
)
OR
___________________________________,
)
SETTLEMENT NOTICE
Defendant/Respondent
)
THIS CASE HAS BEEN SETTLED. NO ARBITRATION AWARD WILL BE FILED.
A HEARING WAS HELD ON THE ________ DAY OF _____________________, 20____.
THE CLAIMS OF THE PARTIES HAVE BEEN RESOLVED AS FOLLOWS:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
IS ANY PART OF THIS AWARD BASED ON THE FAILURE OF ANY PARTY TO PARTICIPATE?
.
YES
NO
IF “YES” THE IDENTITY OF THE NON-PARTICIPATING PARTY IS:_____________________________
********************************************************************************************
ARBITRATION AWARD
AWARD CREDITOR:
________________________________________________________________
AWARD CREDITOR’S ATTY:
________________________________________________________________
AWARD DEBTOR:
________________________________________________________________
AWARD DEBTOR’S ATTY:
________________________________________________________________
AWARD AMOUNT:
________________________________________________________________
PRE-AWARD INTEREST:
________________________________________________________________
POST AWARD INTEREST:
________________________________________________________________
COSTS (INCLUDING
PREVAILING PARTY
AND ARBITRATION FEES)
________________________________________________________________
ATTORNEY FEES:
________________________________________________________________
********************************************************************************************
CERTIFICATION
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE AND THAT I HAVE
SERVED TRUE COPIES OF THIS AWARD ON ALL PARTIES/ATTORNEYS OF RECORD BY
MAIL
FAX
HAND DELIVERY
Arbitration Award – Rev. 5.14.15

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