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Chapter 18

Form 18-43

Include the following notice if a minor is named in the caption or if the order contains other unredacted sensitive data. See § 6 of the Intro­duction in volume 1 of this manual concerning protection of sensitive data in filed documents.

NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA

[Caption. See § 3 of the Introduction in volume 1 of this manual.]

Order Concerning Fee for Court-Appointed Arbitrator

By order of this Court, [name] was appointed to serve as arbitrator, for which a fee was paid. The case was resolved by [binding/nonbinding] arbitration.

The following arbitration fees were agreed on by the parties to the arbitration and by the arbitrator and were paid in the following amounts and by the parties as indicated: [list amounts paid and the payor for each amount].

Respectfully submitted on [date].

   
[Name]
Arbitrator
State Bar No.:
[Email address]
[Address]
[Telephone]
[Fax]

      

The total compensation requested and already paid is approved as submitted.

An additional $ ____________ is to be paid on or before ________________________ by ______________________________.

An additional $ ____________ is to be paid on or before ________________________ by ______________________________.

ORDERED on ______________________________.

   
JUDGE PRESIDING