AAA Complaint Form
AAA Complaint Form
For Consumer or Employment cases, please visit www.adr.org for appropriate forms.
You are hereby notified that a copy of our arbitration agreement and this demand are being filed with the American Arbitration Association with a
request that it commence administration of the arbitration. The AAA will provide notice of your opportunity to file an answering statement.
Representative’s Address:
The named claimant, a party to an arbitration agreement which provides for arbitration under the Commercial Arbitration Rules of the American
Arbitration Association, hereby demands arbitration.
Brief Description of the Dispute:
Amount enclosed: $ In accordance with Fee Schedule: Flexible Fee Schedule Standard Fee Schedule
Please describe the qualifications you seek for arbitrator(s) to be appointed to hear this dispute:
Hearing locale: (check one) Requested by Claimant Locale provision included in the contract
Are any parties to this arbitration, or their controlling shareholder or parent company, from different countries than each other?
Address (to be used in connection with this case): Name of Firm (if applicable):
Representative’s Address:
To begin proceedings, please send a copy of this Demand and the Arbitration Agreement, along with the filing fee as provided for in the Rules, to:
American Arbitration Association, Case Filing Services, 1101 Laurel Oak Road, Suite 100 Voorhees, NJ 08043. At the same time, send the original
Demand to the Respondent.
Please visit our website at www.adr.org if you would like to file this case online. AAA Case Filing Services can be reached at 877-495-4185.