Request For Arbitration By The Florida New Motor Vehicle Arbitration Board

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INSTRUCTIONS FOR COMPLETING THE REQUEST FOR
ARBITRATION FORM
DO NOT DELAY IN COMPLETING THIS FORM. It must be received by the Department of Legal Affairs no later
than 60 days after the expiration of your Lemon Law rights period (24 months from the date of delivery of the
vehicle), or 30 days from the date of final action of a state-certified, manufacturer-sponsored arbitration program
(e.g. BBB/AUTOLINE, NCDS), whichever is later.
1. PLEASE either type or print legibly in black or blue ink. DO NOT use other colored inks or pencil and do not
print the form on colored paper, as these are difficult to copy. If you require assistance, please call the Department
of Legal Affairs at 850-414-3500; if hearing impaired, via the Florida Relay Service at 711. Answer completely all
questions that are applicable to your claim. If you do not answer all applicable questions, the form will be returned
to you.
2. Attach copies of all documents requested. PLEASE do not: use highlighter, write on the documents, cover the
information by the attachment of “post-it” notes, or attach exhibit labels. If you think the document requires
additional explanation, you may provide this on a separate sheet of paper. If you do not attach copies of the
documents requested, the form may be returned to you. Please do not attach documents that do not relate to
your claim.
3. PLEASE DO NOT organize the application and supporting documents by the use of tabs, notebooks or other
such insertions. These will only be removed and discarded. If your claim is determined eligible for arbitration, the
application form and supporting documents will be copied numerous times and will be organized by agency staff
according to the arbitration hearing procedures.
4. You should refer to the publication, “Consumer Guide to the Florida Lemon Law” for an explanation of your
rights under the law and the definitions of terms that are used in this application form.
5. After completing the form and gathering your documents, return the original of the form with a copy of each
document requested to the address on the form, using the mailing label provided. If a document cannot be copied
clearly, then please send the original and it will be returned to you at a later date. BE SURE to keep a copy of the
application form and the original documents for your records as you will have to bring them to an arbitration
hearing, if your claim is deemed eligible.
6. Processing: Upon receipt of your completed form and attachments, the Department of Legal Affairs
(Department) will date-stamp the form. This is the date the form is considered to be filed. The Department will
screen the form and make an initial determination of eligibility within 20 days of the date the form is filed.
(a) If the application is incomplete or lacks sufficient information from which eligibility can be determined, it
will be returned to you promptly for completion or you will be requested to submit new or additional
information. You will have 30 days from the date you receive the returned form to complete the form, or
provide any additional requested information and mail it back to the Department. If you do not respond
within the required 30 days, your claim will be rejected, unless you have a reasonable explanation for your
delay. If you have a reasonable explanation for your delay, the Department will extend the time for an
additional 30 days. If you do not return the completed form or requested information within the 60-day
period, your claim will be rejected. You and the manufacturer will be notified of the rejection in writing. The
time for requesting arbitration will resume running upon mailing of the rejection notice to you. If you
thereafter wish to pursue arbitration under the program, you will have to submit a new form to the
Department.
(b) If the Department finds your application was fraudulently submitted or that your claim is outside the
scope of the Arbitration Board’s authority, your request will be rejected. You and the manufacturer will
receive written notice of the rejection.
(c) If you voluntarily withdraw your claim during the screening process, you may reapply by submitting a
new Request for Arbitration form to the Department. The time for requesting arbitration will resume
running on the date you notify the Department of the withdrawal.

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