Free BINDING ARBITRATION PROGRAM CONSENT FORM - New Jersey

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BINDING ARBITRATION PROGRAM CONSENT FORM COUNTY

CAPTION OF THE CASE:

V.

DOCKET NO:
1. I acknowledge receipt of a copy of the Voluntary Binding Arbitration Program Guidelines which I have read and understand. I consent to having the above captioned case submitted to and I agree to accept and to be bound irrevocably by the panel's decision. the panel of

2.

3.

I understand that the panel's decision is binding and that my case is being dismissed with prejudice as soon as I execute this form. I understand that I waive my rights to trial by jury and to all appeals. Check one: I understand that the award of the panel will not be less than $ nor more than $ without interest. I understand that there is no "high/low" range and that the award, if any, is in the panel's sole discretion, without interest, unless agreed to in the application and includes the possibility of "no cause for action".

4. 5.

Dated:

Plaintiff's Attorney

Plaintiff

Defendant's Attorney

Defendant

Revised 07/26/2005, CN 10769-English

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