Form Cns 006 - Request For Arbitration Form - New York State Attorney General'S Office
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6New Car Lemon Law Guide for Consumers
INSTRUCTIONS FOR COMPLETING
THE NEW CAR LEMON LAW
REQUEST FOR ARBITRATION FORM
To participate in the New York State New Car Lemon Law Arbitration Program, you must complete
the attached form. Be as accurate and complete as possible. You may send this form electronically
or by regular mail. Please attach copies of all relevant documents (including your purchase or lease
agreement, all service or work orders relating to the problem for which you seek this arbitration, and
any correspondence between you and the manufacturer or its authorized dealer relating to such
problem). DO NOT SEND ORIGINAL DOCUMENTS. Sign and return the completed form,
together with your documents, to:
New York State Attorney General's Office
120 Broadway --3rd floor
New York, NY 10271
Attention: NEW CAR LEMON LAW ARBITRATION UNIT.
Or Email to: NYAG.LemonLaw@ag.ny.gov
The Attorney General's Office will review your form and advise you whether your claim is accepted
in the arbitration program. If the form is accepted, you will be notified by the Attorney General's
Office which will then forward your form and documents to the New York State Dispute
Resolution Association (NYSDRA), the Program Administrator. NYSDRA will then notify you to
send it the required $250 filing fee. Upon receipt of the filing fee, NYSDRA will begin processing
your claim. If your form is rejected by the Attorney General=s Office, it will be returned to you with
a statement indicating the reason for its rejection.
DO NOT SEND FILING FEE UNTIL YOU ARE REQUESTED TO BY NYSDRA.
Please remember to sign and date the form. Failure to complete any question or submit
documents may result in a rejection of the form.
________________________________________________________________________
NOTICE:
THE ARBITRATOR'S DECISION UNDER THIS PROGRAM IS BINDING ON BOTH PARTIES,
SUBJECT TO A LIMITED RIGHT OF APPEAL TO COURT BY EITHER PARTY. YOU MAY
WISH TO CONSULT AN ATTORNEY BEFORE PARTICIPATING IN THIS PROGRAM.
PLEASE READ "NEW YORK'S NEW CAR LEMON LAW: A GUIDE FOR CONSUMERS"
CAREFULLY BEFORE COMPLETING THIS FORM.
________________________________________________________________________
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