Voluntary labor arbitration rules. American Arbitration Association MEDIATION Please consult the AAA regarding mediation procedures. If you want the AAA to contact the other party and attempt to arrange a mediation, please check this box. [ ] Voluntary Labor Arbitration Rules Demand for Arbitration Date: _________ To: Name _________(of party upon whom the demand is made) Address City and State _________ ZIP Code _________ Telephone ( ) _________ Fax _________ Name of Attorney _________(of pa(if known) Attorney's Address _________ City and State _________ ZIP Code _________ Telephone ( ) _________ Fax _________ The named claimant, a party to an arbitration agreement contained in a written contract, dated _________, providing for arbitration under the Voluntary Labor Arbitration Rules, hereby demands arbitration thereunder. (Attach the arbitration clause or quote it hereunder.) Nature of Dispute: Claim or Relief Sought: (amount, if any) Hearing Locale Requested: _________(City and State) You are hereby notified that copies of our arbitration agreement and of this demand are being filed with the American Arbitration Association at its _________ office, with the request that it commence the administration of the arbitration. Under the rules, you may file an answering statement after notice from the administrator. Signed _________ Title _________ (may be signed by attorney) Name of Claimant _________ Address (to be used in connection with this case) _________ City and State _________ ZIP Code _________ Telephone ( ) _________ Fax _________ Name of Attorney _________ (if known) Attorney's Address _________ City and State _________ ZIP Code _________ Telephone ( ) _________ Fax _________ To institute proceedings, please send three copies of this demand with the administrative fee, as provided for in the rules, to the AAA. Send the original demand to the respondent.