Dispute Appointment Service

CIArb Impress Arbitration Scheme Form (ARB1)

Notes

We, the parties to this application, whose details are stated in this application, apply to the Chartered Institute of Arbitrators for the nomination and appointment of an arbitrator from the IMPRESS CIArb Panel to resolve the dispute referred to at paragraph 2 below in accordance with the CIArb/IMPRESS Arbitration Scheme Rules (“the Rules”), and the Arbitration Act 1996 (or the Arbitration (Scotland) Act 2010, if applicable).

Please note

For joint applications, please download and complete the selected application form and submit to das@ciarb.org.

If you wish to continue with the online application, please continue with the online form.

Your application will be processed on the basis that the appointment may be made on behalf of the President/Deputy President of the Chartered Institute of Arbitrators by one of their duly appointed agents.

The fee for this service is £75.00 (includes VAT).
Payment will be debited from your card or account when you complete the application.

You can download this form as a PDF or continue online.

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Claimant & Respondent

Claimant/First Party*
Represented by*
Respondent/Second Party*
Represented by*
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Case Details

Maximum 2,000 characters
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Declaration

CIArb Impress Arbitration Scheme Form (ARB1)

We confirm the following:

  • We have been advised about and understand the nature of this agreement to arbitrate;
  • Once the arbitration has started, we will not commence court proceedings or continue existing court proceedings in relation to the same subject matter (and will apply for or consent to a stay of any existing court proceedings, as necessary), unless it is appropriate to make an application to the court arising out of or in connection with the arbitration, or some relief is required that would not be available in the arbitration;
  • We have read the current edition of the Rules and will abide by them.
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Payment

Payment can be made by Credit/Debit card/BACS or Cheque.

Please select the relevant option below. If you require assistance from DAS, please contact DAS on DAS@ciarb.org

The fee for this service is £75.00 (includes VAT).
Payment will be debited from your card or account when you complete the application.

Card details complete, submit application to make payment.

Billing Address

Making payment by BACS

We note that payment of the application fee is to be made by bank transfer.

Once your payment has been processed, a receipted invoice shall follow.

Please ensure that a party name is provided as a reference.

CIArb bank details:

Bank: HSBC Bank, 31 Holborn, London, ECIN 2HR England
Sort code: 40 05 03
Account number: 31288784
International Bank Account number (IBAN): GB75HBUK40050331288784
Branch Identifier Code: HBUKGB4B

For any BAS cases please use the following bank details:

Bank: HSBC Bank, 31 Holborn, London, ECIN 2HR England
Bank Account Name: The Chartered Institute of Arbitrators DAS Holding Account
Sort code: 40-05-03
Account number: 73664678
International Bank Account number (IBAN): GB81HBUK40050373664678
Branch Identifier Code: HBUKGB4B

Making payment by Cheque

We note that payment of the application fee is to be made by cheque.

Once your payment has been processed, a receipted invoice shall follow.

Please make your cheque payable to 'The Chartered Institute of Arbitrators™.

Send it by post to our Dispute Appointment Service (DAS) Department at:

CIArb
12 Bloomsbury Square
London
WC1A 2LP

*Please do not send cash to CIArb by post*

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