Deschutes Supp. L. R. 20 app 6

As amended through January 17, 2024
Appendix 6 - STIPULATION FOR BINDING VOLUNTARY ARBITRATION

IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF DESCHUTES

)

Case No. ____________________

________________________

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Petitioner/Plaintiff

)

STIPULATION FOR

vs.

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BINDING VOLUNTARY

)

ARBITRATION

_________________________

)

Respondent/Defendant

)

_________________________

)

The undersigned certifies that each party in this case has filed an appearance and requests that this case be transferred to arbitration. This case is not set for trial during the next seven (7) days.

TYPE OF CASE: _____ Tort; _____ Contract; _____ Domestic Relations

The parties stipulate to the following as arbitrator and agree to be bound by the arbitrator's decision. The arbitrator has agreed to serve.

___________________________

___________________________

___________________________

___________________________

___________________________

Name and Address of Arbitrator

IT IS SO STIPULATED

_______________________

_____________________

Signature of Attorney Date

_____________________

_____________________

Attorney for: ________________________

_____________________

Name and Address of Attorney

_____________________

Phone: ______________________________

Client's Signature Date

_____________________

_____________________

Signature of Attorney Date

_____________________

_____________________

Attorney for: ________________________

_____________________

Name and Address of Attorney

_____________________

Phone: ______________________________

Client's Signature Date

THIS FORM SHOULD BE FILLED OUT, SIGNED, AND FILED WITH THE COURT MORE THAN SEVEN (7) DAYS PRIOR TO THE SET TRIAL DATE. A COPY OF THE COURT'S ARBITRATOR LIST IS AVAILABLE UPON REQUEST.

Deschutes Supp. L. R. 20 app 6

Amended effective 2/1/2024.