Arbitration Form

STEP 1: Add a Complainant

The undersigned, by becoming and remaining a member of the Oregon REALTORS® (hereinafter “Board”) (or Participant in a local or Regional MLS), has previously consented to arbitration through the Board under its bylaws. NOTE: Only a Principal of a company is eligible to submit any Arbitration Request. If a non-principal submits an Arbitration Request it will be rejected.

Name*

First Last

Email*

Phone*

Company*

STEP 2: Add Respondent

Choose the Respondent below:*

Individual
Company
Both
Other

If other has been selected, please specify:

Company*

Name*

First Last

Email*

Phone*

Additional Respondent

Name

First Last

Email

Phone

Arbitration Request*

Check the article box below and provide a detailed narrative to explain the statement of facts constituting your arbitration request.

Article 17
Other

Description*

STEP 3: Provide Dispute Information

Dispute giving rise to this request:*

Date alleged dispute took place:*

Property address giving rise to this request (if applicable):

Date of transaction (if applicable):

There is due, unpaid and owing to me (or I retain) from the above-named Respondent(s) the sum of:*

Disputed funds currently held by:

Financial Interest:

The following REALTOR® nonprincipal affiliated with my firm has a financial interest in the outcome of the proceeding and may be called as a witness, and has the right to be present throughout the hearing (leave blank if none):

STEP 4: Provide Supporting Documentation

My claim is predicated upon the statement attached, marked Exhibit I and incorporated by reference into this application. Parties are strongly encouraged to provide any and all documents and evidence they intend to introduce during the hearing to the other party(ies) and the Association five (5) days prior to the day of the hearing. Providing documents and evidence in advance can expedite the hearing process and prevent costly, unnecessary continuances. Written notice of Legal Counsel or Witnesses must be provided no less than 15 days prior to the day of hearing.

*

Relevant Documents
Other Relevant Correspondence
Contracts / Forms
Any Statements, Affidavits, Depositions, Letters from Witnesses
Notification and Contact information of Legal / REALTOR® Counsel
Notification and Contact information of Witnesses
Chronology of Timeline
Attorney Contact Information

File*

STEP 5: Answer Mandatory Questions

Are the circumstances giving rise to this arbitration request the subject of civil litigation?*

Yes
No

Please indicate if you wish to designate another REALTOR® Principal for your firm in this matter:*

The Parties to the transaction are the Principals of the companies indicated on this request. You are advised that it is possible that the Principal of the company may designate another licensed broker in the firm who acts in a managerial capacity to serve as the Designated REALTOR® in this matter.

Yes
No

Name

First Last

Email

Phone

STEP 6: Voluntary Mediation

Voluntary mediation is a process in which the Parties, with the assistance of a qualified Mediation Officer, attempt to resolve the dispute. The Mediation Officer will attempt to create and maintain an atmosphere of communication between the Parties while facilitating their negotiation but will not dictate an award. Mediation is a viable alternative to formal arbitration, if the Parties are willing to compromise. NOTE: If your local Association/Board requires mediation as per their bylaws, select yes.

*

Yes – I, the undersigned, hereby request the mediation services of the Association in an attempt to amicably resolve this dispute.
No – I do not request the mediation services of the Association at this time. (Proceed to step 7)

If answered yes, enter your name as signature and date here:

First Last

Date

STEP 7: Arbitration Agreement and Fee

Complainant's Acknowledgement: I request and consent to arbitration through the Board in accordance with its Code of Ethics and Arbitration Manual as adapted by the Oregon REALTORS®.

Complainant's Acknowledgement:*

Arbitration Fee*

I have read the Arbitration Agreement and Fee.

The Arbitration filing fee is $500.00, payment of which must be made before this Request will be processed. Association Staff will contact you regarding payment.

Electronic Signature*

Enter Authorized Signature as shown below:

Re-enter Authorized Signature:*

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