 |
 |
 |
 |
 |
|
 |
 |
|
 |
 |
|
 |
 |
|
 |
||
Chicago International Dispute Resolution Association
APPENDIX 2
Request for Mediation
(where there is an agreement to refer a dispute
to the Office of the Judiciary Out-of-Court Mediation Rules)
The Request for Mediation shall include:
- the names, addresses, telephone and facsimile numbers, and e-mail addresses of the parties to the dispute, and of their authorized representatives or attorneys, if any;
- a description of the dispute including, if possible, the amount or value that is in dispute;
- any joint designation by all of the parties of a Mediator or any agreement of all of the parties upon the qualifications of a Mediator to be appointed by ADRO;
- a copy of any written agreement under which the Request for Mediation is made; and
- [the registration fee for the Mediation process, as set out in Appendix 5.] Optional: see preface to Article 11.
Any proposal regarding the qualifications of a Mediator: __________________________
________________________________________________________________________
Name of the proposed Mediator: _____________________________
List of Mediators that would be qualified to serve in the Mediation of the dispute if the other party or parties also so designated:
_____________
_____________
The Request must be sent to:
Address:
Fax:
E-mail:
[The accompanying registration fee is payable:
- by cheque to the order of the __________________]
Requestors:
_________________
_________________
| back |
Peter V. Baugher,
President
One South Wacker Drive, Suite 2800, Chicago, IL 60606 USA
312-409-1373 (Telephone), 312-701-9335 (Facsimile),