Application to Appoint an Arbitrator

1. Claimant’s Details

Name:
Contact Person/Representative:
Address for Service of Notices and documents in relation to the Arbitration:

Post Code:		Phone:
Fax:		Mobile:
Email:

2. Respondent’s Details

Name:
Contact Person/Representative:
Address for Service of Notices and documents in relation to the Arbitration:

Post Code:		Phone:
Fax:		Mobile:
Email:

Add another Party

2a. Second Respondent’s Details

Name:
Contact Person/Representative:
Address for Service of Notices and documents in relation to the Arbitration:

Post Code:		Phone:
Fax:		Mobile:
Email:

Add another Party

2b. Third Respondent’s Details

Name:
Contact Person/Representative:
Address for Service of Notices and documents in relation to the Arbitration:

Post Code:		Phone:
Fax:		Mobile:
Email:

3. Applicant’s Details (Please complete only if different from Claimant’s details)

Name:
Position/Role of the Applicant:
Address for Service of Notices and documents in relation to the Arbitration:

Post Code:		Phone:
Fax:		Mobile:
Email:

4. Brief Description of the Nature of the Dispute

5. The Relief or Remedy that is sought

6. Agreement to Arbitrate

A copy of the parties’ agreement to refer the dispute to Arbitration by an Arbitrator appointed by the Tribunal is attached?

Yes No

7. Special Requests/Requirements of Arbitrator

Please state any preferred expertise / knowledge / professional background (if any) of the person to be appointed as Arbitrator:

Are the parties in agreement as to the preferred expertise?

Yes No

A copy of the document recording the parties’ agreement as to the Arbitrator’s expertise is attached:

8. Panel of Arbitrators

Please advise whether the parties have reached agreement as to any person (or persons) on our Panel of Arbitrators whom they wish to request the Tribunal to appoint as Arbitrator in this matter (please note that the Tribunal will have regard to any such agreement but will not be bound by it, and any appointment will be at the sole discretion of the Registrar)

8.1 Are the parties in agreement as to whom they wish to act as Arbitrator in this matter?

Yes No

8.2 Please name the person (or persons):

8.3 A copy of the document recording the parties’ agreement as to the Arbitrator is attached:

9. Inspection of the Construction Work

Please advise whether the parties are likely to request the Arbitrator to carry out an inspection of any construction work or any other thing to which the dispute relates (Please note that any inspection will be carried out at the sole discretion of the Arbitrator)

Yes No

10. Security Amount

Payment may be made by direct credit, cheque or credit card on the next page.

10.1 Please select Arbitration Code (If you are unsure of the appropriate code please click here)

Please Note: If your application relates to an arbitration with three arbitrators or you require an overseas based arbitrator to act please use the BCA code.
If your Code is BCA we will contact you to finalise the amount to be paid and arrange for payment

10.2 Please enter the amount in Dispute (inclusive of GST) (ie. Enter 98643.00 if the amount of your claim is $98,643.00)

Amount in Dispute: NZ$

Security Amount: NZ$

Calculate Security Amount

11. Agreement

I confirm that the information I have supplied is true and correct to the best of my knowledge and that I have read and accepted the terms and conditions of the Building Disputes Tribunal

Please print a copy of your application for your records

APPLICATION TO APPOINT AN ARBITRATOR

APPLICATION TO
APPOINT AN ARBITRATOR