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
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:
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