Name of Person Filing Document: Your Address: Your Telephone Number: Attorney Bar Number (if applicable): Self (Without Attorney) OR Attorney Representing
Petitioner
Respondent
IN THE SUPERIOR COURT OF ARIZONA PINAL COUNTY
Case No. ________________________ (Name of Plaintiff)
and
CERTIFICATE OF COMPULSORY ARBITRATION
(Name of Defendant)
The undersigned certifies that the largest award sought by the complainant, including punitive damages, but excluding interest, attorneys' fee, and costs (does) (does not) exceed limits set by Local Rule for compulsory arbitration. This case (is) (is not) subject to the Uniform Rules of Procedures for Arbitration.
Dated this ____________ day of ____________________, _________.
____________________________________ Signature of Attorney / Plaintiff
© Superior Court of Arizona Pinal County June 16 1991 ALL RIGHTS RESERVED
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CV Certificate of Comp Arbitration Use only most current form