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Universal Request for Dispute Resolution

The named parties hereby submit the following dispute resolution by the following procedure:

Procedure Selected:
Type of Business: Claimant
Respondent
To be completed and signed by all parties
Name of party
Name of party
Address
Address
City,State/province
City,State/province
Phone
Facsimile
Phone
Facsimile
Name of party's Attorney or Representative
Name of party's Attorney or Representative
Name of Firm(if applicable)
Name of Firm(if applicable)
Address
Address
City,State/province
City,State/province
Phone
Facsimile
Phone
Facsimile
Signed
Signed
Phone
Date
Phone
Date

Please file two signed copies and the non-refundable filing fee with the ICADRP Secretariat at 32-A, Street 38, F-10/4, Nazim ud Din Road, Islamabad, 

For more information. Please contact us at +92 51 2111595 – 8 Or visit our website at www.icadrp.com

INSTRUCTION

Please submit this form to  ICADRP  if multiple parties are involved, attach a  list. An ICADRP professional will contact all parties to coordinate the ADR process. To file an arbitration, please use the demand for arbitration form which can be found at www.icadrp.com

Case Caption
CLAIMANT
Name
Court File Number (if any)
Represetative/Attorney
Address
Firm/Company
Website address
City
State
Phone
RESPONDENT
Name
Court File Number (if any)
Represetative/Attorney
Address
Firm/Company
Website address
City
State
Zip
Phone
INSURANCE INFORMATION (if any)
Carrier
File/Claim number
Claim Representative
Address
City
State
Zip
Phone
Other Parties to Dispute
0 / 10000
List Parties Who Have Agreed To Use ADR
0 / 10000
Nature of Dispute/Claims & Relief Sought By Claimant
0 / 10000
Case Information
Suit Filed
Case Number
Trial Date
Mediation Deadline(if applicable)
Session Information
Requested Resolution City
Requested Session Date
Estimated Session Duration
THIRD PARTY FUNDING (if any)
Name
Phone
Contact
Email
Neutral Information
Parties Mutually Agree on Neutral(s)
Neuture Name (if applicable)
Fee Split
Plaintiff/Claimant
Defendant/Respondent
Submission Information
Submitted by
Date
Firm/Company
Phone
cloud_uploadUpload files

In case of multiple attachments, please compress all the files in a single folder and attached the compressed folder.

If "Other" include details
More details
0 / 10000
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