Attorney’s Bar Number
Attorney’s Firm Name
Attorney’s Phone Number
Party Attorney Represents
CLARK COUNTY, NEVADA
v. ) CASE NO. A
) DEPT NO.
Defendants. ) ARBITRATION
__________________________________________) ADR #
APPEAL OF COMMISSIONER’S DECISION ON OBJECTION
TO ARBITRATOR BY ADDITIONAL PARTY
Comes now (party), , by and through his attorney of
record, , Esq. of the law firm of
, and appeals the ADR Commissioner’s decision in the above entitled
action pursuant to N.A.R. 6(E).
The grounds for appeal are as follows:
DATED this day of , 2008.
ARB FORM 13 (1 of 2)
CASE NAME/CASE #
CERTIFICATE OF MAILING
I hereby certify that on the day of , 2008, I mailed
a copy of the foregoing APPEAL OF COMMISSIONER’S DECISION ON OBJECTION
TO ARBITRATOR BY ADDITIONAL PARTY in a sealed envelope, to the following
counsel of record and Arbitrator and that postage was fully prepaid thereon:
EMPLOYEE OF ATTORNEY
NOTE: TO BE FILED WITH THE ADR OFFICE.
ARB FORM 13 (2 of 2)