Free mc284.pmd - Michigan


File Size: 52.6 kB
Pages: 3
Date: June 11, 2009
File Format: PDF
State: Michigan
Category: Court Forms - State
Author: GentilozziT
Word Count: 531 Words, 3,260 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.michigan.gov/scao/courtforms/alternativedisputeresolution/mc284.pdf

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Approved, SCAO

Original - Court 1st copy - Plaintiff 2nd copy - Defendant

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY PROBATE
Court address

CASE NO. BINDING ARBITRATION AWARD PAGE 1 OF 3
Court telephone no.

Plaintiff name(s), address(es), and telephone no(s).

Defendant name(s), address(es), and telephone no(s).

v

Plaintiff's attorney, bar no., address, and telephone no.

Defendant's attorney, bar no., address, and telephone no.

Probate

In the matter of Basis for Binding Arbitration Statutory based on contract Stipulation on court referral; MCR 2.410, MCR 5.143 Other (specify) Hearing transcript made and used ORDER OF AWARD
NOTE: Awards based on statutory employment claims must be supported. Complete and attach pages 2 and 3.

For: Against: After hearing

Consent

Damages: Costs: Attorney fee:

statutory other: Total judgment amount:
This judgment will earn interest at statutory rates, computed from the filing date of the complaint.

$ $ $ $

0.00

Nature of Claim Arbitrated Statutory (specify) Employment Commercial Contract Personal injury - Tort Personal injury - Other (specify) Other (specify) and is based on: If additional rates apply, attach a separate sheet. to . to . , and %

The judgment interest accrued thus far is $ the statutory rate of % from the statutory 6-month rate(s) of % from

from to Other conditions, if any: Approved as to form, notice of entry waived.

Award date Arbitrator Bar no. The award has been entered and will be final unless within 21 days after entry and delivery of the award a motion to vacate, modify, or correct the award is filed.

CERTIFICATE OF MAILING I certify that on this date I served a copy of this award on the parties or their attorneys by first-class mail addressed to their last-known addresses as defined by MCR 2.107(C)(3).
Date MC 284 (3/09) Signature

BINDING ARBITRATION AWARD, PAGE 1 OF 3

MCR 2.410, MCR 3.602

Approved, SCAO

Original - Court 1st copy - Plaintiff 2nd copy - Defendant

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY PROBATE
Court address

CASE NO. BINDING ARBITRATION AWARD PAGE 2 OF 3
Court telephone no.

Plaintiff name(s), address(es), and telephone no(s).

v

Defendant name(s), address(es), and telephone no(s).

Probate

In the matter of

Material Findings of Fact: Attach additional pages if necessary.

Material Conclusions of Law: Attach additional pages if necessary.

Basis for Specific Relief Granted: Attach additional pages if necessary.

Other Comments or Information: Attach additional pages if necessary.

Date MC 284 (3/09)

Arbitrator

Bar no. MCR 2.410, MCR 3.602

BINDING ARBITRATION AWARD, PAGE 2 OF 3

Approved, SCAO

Original - Court 1st copy - Plaintiff 2nd copy - Defendant

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY PROBATE
Court address

CASE NO. BINDING ARBITRATION AWARD PAGE 3 OF 3
Court telephone no.

Plaintiff name(s), address(es), and telephone no(s).

v

Defendant name(s), address(es), and telephone no(s).

Probate

In the matter of

Witnesses: Attach additional pages if necessary. Name Address Called by Fact/Expert Date

Exhibits: Attach additional pages if necessary. Offered by Marked as Description Admitted: Yes/No

Date MC 284 (3/09)

Arbitrator

Bar no. MCR 2.410, MCR 3.602

BINDING ARBITRATION AWARD, PAGE 3 OF 3