Nomination Application for Dispute Resolver
This application form covers the nomination of dispute resolvers for mediations, arbitrations and expert determinations.
This form requires the following information:
Note: You cannot save this form. Therefore, make sure to have all the below information before beginning.
Please also attach: Dispute Resolution clause (if any), Notice of dispute and any other relevant documentation. This MUST be in PDF format.
NB: The two "mediator" options refer only to the circumstances which brought parties to mediation. There is no difference in mediator type nominated.
Party 1 Details
NB: Only parties to the dispute should be listed on this form.
Role in Dispute
NB. This email address is the only address to which invoices and results will be automatically sent. If you desire copies of either results or invoices please contact email@example.com after submitting this form
Party 1 Representative Details
Name of Party 1 firm/ chambers:
Name of Party 1 representative:
Suburb, State, Postcode
Party 2 Details
Role in dispute
Party 2 Representative Details
Name of Party 2 firm/ chambers:
Name of Party 2 representative:
Party 3 Details
Name of company/organisation/person:
Party 3 Representative Details
Name of firm/ chambers:
Name of representative:
Name of body authorised to make nomination (contract or court order)
General nature of the dispute/ relevant details:
Please upload the following documentation (maximum upload of 100MB total):
Dispute clause(s) (if any):
If dispute resolution clause refers to other documents please attach below
NB: If supporting documentation is either too large or too numerous, physical service can be made on Resolution Office in Sydney (13-15 Bridge St Sydney, NSW, 2000)
If you wish to upload documentation via Cloud, Dropbox, etc. please copy link below:
I hereby agree that: