Initial Statement Of Arbitrability

1 of 3 SUPERIOR COURT OF WASHINGTON IN AND FOR SNOHOMISH COUNTY CASE NO. INITIAL STATEMENT OF ARBITRABILITY (STA ) Petitioner/Plaintiff(s) vs. Respondent/Defendant(s) TO: The Clerk of the Court; the Arbitration Coordinator (by separate copy serviced at Superior Court Administration Office, 5th Floor Courthouse) and the attorneys or parties listed below: I hereby affirm that this case is at issue; that no affirmative pleading remains unanswered; that to my knowledge no other parties will be served with summons; and that the case in all respects is ready for transfer to arbitration. Type of case Case: INITIAL STATEMENT OF ARBITRABILITY (SCLMAR 2.1) This case is ARBITRABLE because: (Check one) The sole relief sought is a money judgment and involves no claim in excess of $100,000 exclusive of any attorney fees, interest and costs (RCW 7.06.020 SCLMAR 1.2); or The sole relief sought, regardless of the number or amount of payments, is the establishment, termination or modification of maintenance or child support payments or arrearages (RCW 7.06.020 SCLMAR 1.2); or The undersigned waives any claim in excess of $100,000 in order to have this case arbitrated; or This is a Small Claims matter appealed from District Court. (SCLMAR 1.2) American LegalNet, Inc. www.FormsWorkFlow.com 2 of 3 Please note there is a civil arbitration fee of $250.00 which must be paid at the time of filing this document with the County Clerk. Documents submitted without the fee will be returned to the submitting party. NOTE: Arbitrable, non-jury cases should not be noted for presentation to the Superior Court at this time. (See SCLMAR 2.1 (g)) Civil cases not subject to Civil Arbitration may be submitted to arbitration pursuant to MAR 8.1 (b), SCLMAR 8.1 and SCLMAR 2.1 (e) by stipulation which must be filed with the Clerk of the Court and a copy served upon the Arbitration Coordinator. The undersigned hereby requests that this matter be transferred to arbitration pending formal stipulation by the parties. Any Response to this Statement of Arbitrability must be filed with the Clerk of the Court and a copy served upon the Arbitration Coordinator within 14 days after this document has been served and filed. (SCLMAR 2.1 (c)) Motions to establish whether a case is actually subject to arbitration are governed by state and local rules pertaining to civil motions practice. (SCLMAR 2.2 (a)) CERTIFICATE OF MAILING I certify that I mailed a copy of this document to the attorneys listed hereon, postage prepaid on t he (Signature) Date (mm/dd/yyyy) : D ate (mm/dd/yyyy): WSBA #: NOTE: File the original of this document with the Clerk of the Court: Serve a copy on the Arbitration Coordinator , Superior Court A dministration , 5 th Floor, & a copy on all parties. NAME: ADDRESS: TELEPHONE : ATTORNEY FOR: (Check one) Petitioner/Plaintiff Respondent/Defendant American LegalNet, Inc. www.FormsWorkFlow.com 3 of 3 PLEASE LIST THE NAMES, ADDRESSES, ETC. OF ALL OTHER ATTORNEYS IN THIS CASE AND/OR ALL OTHER PARTIES REQUIRING NOTICE. NAME: WSBA #: TELEPHONE: ADDRESS: ATTORNEY FOR: (Check one) Petitioner/Plaintiff Respondent/Defendant NAME: WSBA #: TELEPHONE: ADDRESS: ATTORNEY FOR: (Check one) Petitioner/Plaintiff Respondent/Defendant NAME: WSBA #: TELEPHONE: ADDRESS: ATTORNEY FOR: (Check one) Petitioner/Plaintiff Respondent/Defendant NAME: WSBA #: TELEPHONE: ADDRESS: ATTORNEY FOR: (Check one) Petitioner/Plaintiff Respondent/Defendant NAME: WSBA #: TELEPHONE: ADDRESS: ATTORNEY FOR: (Check one) Petitioner/Plaintiff Respondent/Defendant American LegalNet, Inc. www.FormsWorkFlow.com