DEMAND FOR ARBITRATION

American Arbitration Association

CASE INFORMATION

Filing Date: [DATE]

AAA Case Number: [TO BE ASSIGNED BY AAA]

Applicable Rules:
☐ Commercial Arbitration Rules and Mediation Procedures
☐ Employment Arbitration Rules and Mediation Procedures
☐ Consumer Arbitration Rules
☐ Construction Industry Arbitration Rules
☐ Other: [SPECIFY]

Type of Dispute:
☐ Commercial/Business
☐ Employment
☐ Consumer
☐ Construction
☐ Technology
☐ Other: [SPECIFY]

PART I: PARTIES

CLAIMANT INFORMATION

Name: [CLAIMANT FULL LEGAL NAME]

Type:
☐ Individual
☐ Corporation
☐ LLC
☐ Partnership
☐ Other: [SPECIFY]

State of Incorporation/Formation: [STATE]

Address:
[STREET ADDRESS]
[CITY, STATE ZIP CODE]

Phone: [PHONE NUMBER]

Email: [EMAIL ADDRESS]

CLAIMANT'S REPRESENTATIVE/COUNSEL

Name: [ATTORNEY NAME]

Firm: [LAW FIRM NAME]

Address:
[STREET ADDRESS]
[CITY, STATE ZIP CODE]

Phone: [PHONE NUMBER]

Email: [EMAIL ADDRESS]

Bar Number: [STATE BAR NUMBER]

RESPONDENT INFORMATION

Name: [RESPONDENT FULL LEGAL NAME]

Type:
☐ Individual
☐ Corporation
☐ LLC
☐ Partnership
☐ Other: [SPECIFY]

State of Incorporation/Formation: [STATE]

Address:
[STREET ADDRESS]
[CITY, STATE ZIP CODE]

Phone: [PHONE NUMBER] (if known)

Email: [EMAIL ADDRESS] (if known)

RESPONDENT'S REPRESENTATIVE/COUNSEL (if known)

Name: [ATTORNEY NAME]

Firm: [LAW FIRM NAME]

Address:
[STREET ADDRESS]
[CITY, STATE ZIP CODE]

Phone: [PHONE NUMBER]

Email: [EMAIL ADDRESS]

PART II: ARBITRATION AGREEMENT

2.1 Source of Arbitration Agreement

The agreement to arbitrate is contained in:

☐ Written contract between the Parties dated [DATE]
☐ Terms of Service/Terms and Conditions effective [DATE]
☐ Employment Agreement dated [DATE]
☐ Separate Arbitration Agreement dated [DATE]
☐ Purchase Order/Invoice Number [NUMBER]
☐ Other: [DESCRIBE]

2.2 Relevant Arbitration Clause

The arbitration clause provides [quote or summarize the relevant arbitration provision]:

"[INSERT ARBITRATION CLAUSE TEXT]"

2.3 Applicable Rules Specified

The arbitration agreement specifies the following rules: [IDENTIFY RULES OR STATE "NONE SPECIFIED"]

2.4 Governing Law

The agreement specifies that [STATE] law shall govern the dispute.

PART III: NATURE OF DISPUTE

3.1 Brief Description of Dispute

[Provide a clear, concise description of the dispute, including the relevant facts, the nature of the claims, and the basis for arbitration. This section should be comprehensive but not overly detailed. 2-5 paragraphs recommended.]

Background:
[DESCRIBE THE PARTIES' RELATIONSHIP AND RELEVANT BACKGROUND]

Facts Giving Rise to the Dispute:
[DESCRIBE THE EVENTS, ACTIONS, OR OMISSIONS THAT LED TO THIS DISPUTE]

Claimant's Position:
[SUMMARIZE CLAIMANT'S POSITION AND WHY RESPONDENT IS LIABLE]

3.2 Claims Asserted

Claimant asserts the following claims against Respondent:

Claim 1: [CLAIM TITLE - e.g., Breach of Contract]
- Legal Basis: [CITE APPLICABLE LAW/CONTRACT PROVISION]
- Factual Basis: [BRIEF DESCRIPTION]

Claim 2: [CLAIM TITLE]
- Legal Basis: [CITE APPLICABLE LAW/CONTRACT PROVISION]
- Factual Basis: [BRIEF DESCRIPTION]

Claim 3: [CLAIM TITLE]
- Legal Basis: [CITE APPLICABLE LAW/CONTRACT PROVISION]
- Factual Basis: [BRIEF DESCRIPTION]

[ADD ADDITIONAL CLAIMS AS NECESSARY]

PART IV: RELIEF REQUESTED

4.1 Monetary Damages

Claimant seeks the following monetary relief:

4.2 Non-Monetary Relief

Claimant also seeks the following non-monetary relief:

☐ Specific Performance: [DESCRIBE]

☐ Declaratory Relief: [DESCRIBE]

☐ Injunctive Relief: [DESCRIBE]

☐ Rescission/Cancellation: [DESCRIBE]

☐ Reformation: [DESCRIBE]

☐ Other Equitable Relief: [DESCRIBE]

4.3 Interest

☐ Pre-award interest at the rate of [___]% per annum from [DATE]
☐ Post-award interest at the statutory rate
☐ Interest as determined by the arbitrator

4.4 Attorneys' Fees and Costs

☐ Claimant seeks an award of attorneys' fees pursuant to [CONTRACT PROVISION / STATUTE]
☐ Claimant seeks costs of arbitration
☐ Claimant seeks expert witness fees

4.5 Other Relief

Claimant reserves the right to seek such other and further relief as the arbitrator deems just and proper.

PART V: AMOUNT IN CONTROVERSY

5.1 Total Claim Amount

The total amount in controversy, including all damages, interest, fees, and costs claimed, is:

☐ Less than $75,000
☐ $75,000 - $100,000 (Expedited Procedures may apply)
☐ $100,001 - $500,000
☐ $500,001 - $1,000,000
☐ $1,000,001 - $3,000,000
☐ Greater than $3,000,000 (Large, Complex Case Procedures may apply)
☐ Non-monetary/Cannot be calculated

Specific Amount Claimed: $[AMOUNT]

PART VI: ARBITRATOR SELECTION

6.1 Number of Arbitrators

Pursuant to the arbitration agreement and/or AAA rules:

☐ Single Arbitrator requested
☐ Panel of Three Arbitrators requested
☐ As determined by AAA rules based on amount in controversy

6.2 Arbitrator Qualifications

Claimant requests that the arbitrator(s) have the following qualifications:

☐ Experience in [INDUSTRY/FIELD]
☐ Legal background in [AREA OF LAW]
☐ Technical expertise in [SUBJECT MATTER]
☐ Retired judge
☐ Other: [SPECIFY]

6.3 Arbitrator Locale

Claimant prefers arbitrator(s) from the following geographic area: [SPECIFY REGION/STATE]

PART VII: PROCEDURAL REQUESTS

7.1 Hearing Location

Claimant requests that the hearing be held in:

City: [CITY]
State: [STATE]

Basis for location request: [EXPLAIN - e.g., per arbitration agreement, location of parties, convenience]

7.2 Hearing Format

☐ In-person hearing requested
☐ Virtual/remote hearing acceptable
☐ Documents-only arbitration requested (for smaller claims)
☐ Hybrid hearing (mix of in-person and virtual) acceptable

7.3 Language

The arbitration should be conducted in: [ENGLISH / OTHER]

7.4 Expedited Procedures

☐ Claimant requests Expedited Procedures under AAA Commercial Rule E-1 et seq.
☐ Claimant does not request Expedited Procedures

7.5 Emergency Relief

☐ Claimant is filing a separate application for emergency interim relief under AAA Rule R-38
☐ Claimant is not seeking emergency relief at this time

7.6 Mediation

☐ Claimant is interested in mediation and requests AAA's mediation services
☐ Claimant is not interested in mediation at this time
☐ Claimant has already attempted mediation

PART VIII: SUPPORTING DOCUMENTS

8.1 Required Enclosures

The following documents are attached to this Demand:

☐ Copy of the Arbitration Agreement/Contract containing arbitration clause
☐ Filing Fee Payment (see AAA Fee Schedule)
☐ [LIST ANY OTHER REQUIRED DOCUMENTS]

8.2 Supporting Exhibits

The following supporting documents are attached:

PART IX: FILING FEE INFORMATION

9.1 Fee Calculation

Based on the amount in controversy, the initial filing fee is: $[AMOUNT]

[Reference AAA Fee Schedule at www.adr.org for current fees]

9.2 Payment Method

☐ Check enclosed (payable to American Arbitration Association)
☐ Credit card (to be processed by AAA)
☐ Wire transfer
☐ Payment to be made online through AAA WebFile

9.3 Fee Waiver/Deferral Request

☐ Claimant is requesting a fee waiver or deferral due to financial hardship
☐ Fee waiver/deferral not requested

PART X: CERTIFICATION AND SIGNATURE

10.1 Certification

I, the undersigned, certify that:

1. I have read this Demand for Arbitration and its attachments.

2. To the best of my knowledge, the information provided is true and accurate.

3. The claims are not being filed for any improper purpose, such as harassment or delay.

4. The claims are warranted by existing law or by a non-frivolous argument for extending, modifying, or reversing existing law.

5. The factual contentions have evidentiary support or will likely have evidentiary support after a reasonable opportunity for discovery.

6. I have attempted in good faith to resolve this dispute before filing, as required by [any pre-arbitration dispute resolution requirements].

10.2 Signature

Claimant or Claimant's Attorney:

Signature: ______________________________

Printed Name: [NAME]

Title/Position: [TITLE, if applicable]

Date: _______________

FILING INSTRUCTIONS

How to File with AAA:

Online Filing (Preferred):
AAA WebFile: https://apps.adr.org/webfile/

Mail:
American Arbitration Association
Case Filing Services
1101 Laurel Oak Road, Suite 100
Voorhees, NJ 08043

Email:
[email protected]

Fax:
1-877-304-8457

Required for Filing:

1. This completed Demand for Arbitration
2. Copy of the arbitration agreement or contract
3. Filing fee (see current fee schedule at www.adr.org)
4. Any additional required documents

Service on Respondent:

Claimant must serve a copy of this Demand and all attachments on Respondent simultaneously with filing with AAA.

NOTICE TO RESPONDENT

RESPONDENT IS HEREBY NOTIFIED:

1. A Demand for Arbitration has been filed against you with the American Arbitration Association.

2. Under the applicable AAA rules, you have [typically 14-30 days, depending on applicable rules] to file an Answering Statement and any counterclaims.

3. Failure to respond may result in the arbitrator proceeding with the arbitration and rendering an award based on the evidence presented by Claimant.

4. You have the right to be represented by counsel.

5. For information about the arbitration process, contact AAA at 1-800-778-7879 or visit www.adr.org.

AAA RULE REFERENCES

Commercial Arbitration Rules:
- R-4: Filing Requirements
- R-5: Changes of Claim
- R-6: Jurisdiction
- R-12: Arbitrator Selection
- R-22: Conduct of Proceedings (Virtual Hearings Default)
- R-33: Dispositive Motions
- R-38: Emergency Measures of Protection
- R-47: Award

Employment Arbitration Rules:
- Employment Rule 4: Filing Requirements
- Employment Rule 22: Conduct of Proceedings (Virtual Hearings Default)
- Employment Due Process Protocol

Consumer Arbitration Rules:
- Consumer Rule 4: Filing Requirements
- Consumer Due Process Protocol
- Consumer Fee Schedule

LEGAL REFERENCES:
- Federal Arbitration Act, 9 U.S.C. Sections 1-16
- AAA Commercial Arbitration Rules (effective September 1, 2022)
- AAA Employment Arbitration Rules (effective May 1, 2025)
- AAA Consumer Arbitration Rules (effective May 1, 2025)