Demand for Arbitration

Thank you for choosing Miles! To initiate an arbitration, fill in the required details in the Demand for Arbitration (“Demand”). Your arbitration will begin once you submit the Demand and pay $1500 towards Miles’ one-time administrative and filing fees.

You may also access the Word version of the Demand here. After you’ve filled out the Demand, email it to arb@milesadr.com or file it in person at one of our locations in Atlanta, Savannah, Charlotte, Nashville, Jacksonville, Tampa or St. Louis.

A sample Demand can be found here. Have questions or need clarification about any part of the Demand? Email us at arb@milesadr.com.

1Case Information

2Payment

Claimant Information

Name(Required)

Postal Address

Telephone

Email(Required)

Claimant Representative's Information

Name(Required)

Firm Name

Postal Address

Telephone

Email(Required)

Respondent(s) Information

Name(Required)

Postal Address

Telephone

Email(Required)

Respondent(s) Representative's Information

Name(Required)

Firm Name

Postal Address

Telephone

Email(Required)

Arbitration Agreement

Type of Agreement(Required)

Supplemental AgreementContractual AgreementCourt-Ordered

Supplemental Agreement

The Claimant confirms and states that the present proceedings have been initiated under clause of the Supplementary Agreement dated .

Contractual Agreement

The Claimant confirms and states that the present proceedings have been initiated under clause of contract dated .

Court-Ordered

The Claimant confirms and states that the present proceedings have been initiated pursuant to order dated passed by the Hon’ble requiring the parties to resolve the present dispute through arbitration.

Clause Number(Required)

Date of the Contract/Agreement(Required)

MM slash DD slash YYYY

Court(Required)

Date of Order(Required)

MM slash DD slash YYYY

Laws Governing Arbitration

Pursuant to the arbitration agreement between the parties, the arbitration proceedings will be governed by the law of . The arbitration will be conducted pursuant to the

Relevant Substantive Law

Rules of the Relevant Arbitration

Seat and Language of the Arbitral Proceedings

Yes

No

In accordance with the terms and relevant clauses of the arbitration agreement, the seat of the arbitration shall be and the language of the arbitration shall be .

Seat

Language

Composition of the Arbitral Tribunal

Type of Panel(Required)

Sole ArbitratorArbitral Panel of Three ArbitratorsAbsence of Such Clause

All disputes between the parties shall be determined by a sole arbitrator. In view thereof, the Claimant proposes that the following arbitrator(s) be considered for appointment by the Respondent(s):

Under clause [enter the relevant clause] of the Contract, all disputes arising out of, or in relation to the Contract shall be determined by a three-person arbitral tribunal. In view thereof, the Claimant nominates [name of proposed arbitrator] as its party-nominated arbitrator. The contact details of [name of proposed arbitrator] are as follows:

Proposed Arbitrator(Required)

Sally AkinsLeah AlbertRon BankstonMarc BarréTodd BechtelM.J. BlakelyRobins BricePaul BurkhartMichael BurtonMandi ClayDaniel CohenRobert CohenJim CooleyWilliam CooperCasey CrumbleyJon CunninghamWard DavisTom DeBariJ. Antonio DelCampoMichael EshmanJami FarrisHon. Susan ForslingEric FrischDavid GalloRusty GrantShuli GreenJennifer GrippaSteve GroomEllen HarmonHon. Jason HarperBarry L. HowardMeredith JeffriesMarci JoelKim KirnC.J. LarkinDrew LewisRobert LitzDax LopezMelissa MaravichBlane McCarthyHon. Bianca Motley BroomTamika NewsonDavid NutterNeal O’TooleGreg ParentRoy PaulMike PeacockHon. Tabitha PonderBryan RendzioPatricia RiehlPeggy RothAndy RowlettMichael RussellMark SeigelJim SheaJack SloverChristopher SmithGary SnodgrassKetan SoniDebbie TarkingtonTanya TateMatt ThiryElizabeth ToddWinter WheelerLeigh WilcoDoug WildeTheodore J. Williams Jr.James Young

Arbitrator Email(Required)

In the absence of an agreement between the parties with respect to the number of arbitrators, the Claimant hereby proposes that Miles Mediation & Arbitration appoint an arbitral tribunal as it deems fit and necessary considering the present factual circumstances.

Submission of this Demand

(Required)

A copy of this Demand for Arbitration is being submitted to Miles Mediation & Arbitration along with a check/ receipt of electronic payment in the sum of $1500 being the initiation fee for the present arbitral proceedings.

(Required)

The Claimant confirms and states that a copy of this Demand for Arbitration will be served on the Respondent.

NATURE AND CIRCUMSTANCES OF THE DISPUTE

Brief Factual Narration(Required)

PRELIMINARY MEASURES

Interim Measures Sought

RELIEF SOUGHT

Final Relief Sought(Required)

REQUIRED DOCUMENTS

Supplementary Agreement / Contractual Agreement / Court Order(Required)

Drop files here or Select files

Accepted file types: pdf, Max. file size: 100 MB, Max. files: 3.

MILES MEDIATION & ARBITRATION
BEFORE THE ARBITRAL TRIBUNAL
IN THE MATTER OF:

                                                                        CLAIMANT

v.

                                                                        RESPONDENT

DEMAND FOR ARBITRATION ON BEHALF OF CLAIMANT

12/22/2024

I. INTRODUCTION

This Demand for Arbitration dated 12/22/2024 (“Demand”) is being submitted on behalf of  (“Claimant”) to initiate appropriate arbitration proceedings before Miles Mediation and Arbitration pursuant to the contract dated  between the Claimant and  (“Contract”).

The Claimant states that the present dispute arises under the Contract and demands that such dispute, as more particularly described hereinunder, be referred to arbitration under clause  of the Contract.

II. PARTIES TO THE DISPUTE

1. Details of the Claimant:





2. Details of the Claimant’s Representative (if any):





The Claimant hereby confirms that its representatives are authorized under the relevant regulations of law to act on behalf of the Claimant in the captioned arbitration. (Optional: A copy of the power of attorney/ letter of authorization is annexed hereto as Exhibit C-1.)

3. Details of the Respondent(s):





4. Details of the Respondent(s)’s Representative:

III. PROCEDURAL ASPECTS OF THE DISPUTE RESOLUTION CLAUSE

A. Arbitration Agreement under Clause , the Contract

1. The Claimant confirms and states that the present proceedings have been initiated under clause of the Contract. A copy of the Contract containing the arbitration agreement is annexed herewith as Exhibit C-2.

2. The arbitration agreement as incorporated into the Contract is reproduced verbatim as follows:

B. Court-Ordered Arbitration (only in the event of arbitration proceedings ordered by a competent court of law)

1. The Claimant confirms and states that the present proceedings have been initiated pursuant to order dated passed by the Hon’ble requiring the parties to resolve the present dispute through arbitration. A copy of the order requiring the parties to arbitrate is annexed herewith as Exhibit C-3.

C. Law Governing the Arbitration

1. Pursuant to the arbitration agreement between the parties, the arbitration proceedings will be governed by the law of . The arbitration will be conducted pursuant to the .

D. Seat and Language of the Arbitral Proceedings (only if relevant)

1. In accordance with the terms and relevant clauses of the arbitration agreement, the seat of the arbitration shall be and the language of the arbitration shall be .

E. Composition of Arbitral Tribunal - Sole Arbitrator

[A] Sole Arbitrator:
Under clause of the Contract, all disputes arising out of, or in relation to the Contract shall be determined by a sole arbitrator. In view thereof, the Claimant proposes that the following arbitrator(s) be considered for appointment by the Respondent(s): ,

[B] Arbitral Panel of Three Arbitrators:
Under clause of the Contract, all disputes arising out of, or in relation to the Contract shall be determined by a three-person arbitral tribunal. In view thereof, the Claimant nominates as its party-nominated arbitrator. The contact details of are as follows:

[C]: Absence of Such Clause
In the absence of an agreement between the parties with respect to the number of arbitrators, the Claimant hereby proposes that Miles Mediation & Arbitration appoint an arbitral tribunal as it deems fit and necessary considering the present factual circumstances.

F. Submission of this Demand

A copy of this Demand for Arbitration is being submitted to Miles Mediation & Arbitration along with a check/ receipt of electronic payment in the sum of $1500 being the initiation fee for the present arbitral proceedings.

The Claimant confirms and states that a copy of this Demand for Arbitration has been served on the Respondent.

IV. NATURE AND CIRCUMSTANCES OF THE DISPUTE

V. PRELIMINARY MEASURES

VI. RELIEF SOUGHT
In light of the aforementioned facts and circumstances, the Claimant respectfully prays before the Arbitral Tribunal to:









Respectfully submitted on 12/22/2024

For and on behalf of the Claimant,

Miles Mediation and Arbitration
P.O. Box 749426
ATLANTA GA 30374-9426
www.milesmediation.com
1-888-305-3553

INVOICE
Inv
12/22/2024

Bill to:

Balance Due:

Terms	Due Date	Client	Firm	Neutral	Matter Name
Due Upon Receipt	12/22/2024				v.

Items	Description	Date of Service	Quantity	Rate	Amount
Commencement and Administrative Fee	Arbitration will not commence until payment is received	12/22/2024	2	$1500	$3000
			Total
			$3,000

Thank you for choosing Miles Mediation and Arbitration Services!
Online Credit Card Portal: http://www.milesmediation.com/pay-online

Please reference invoice number(s) on all payments.

Please remit payment to:
PAYMENT LOCKBOX ADDRESS:
MILES MEDIATION & ARBITRATION SERVICES
P.O. Box 749426
ATLANTA GA 30374-9426

ACH Payment Instructions:
For more information please contact Miles
Mediation and Arbitration at 888-305-3553

Miles Mediation Tax ID: 71-0922469

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Total

Commencement and Administrative Fee