COMPLAINTS ABOUT ARBITRATORS

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Case Name
Case No.
Arbitrator
Complaint By
Complaint Date  
Manufacturer

I/we who make this complaint have read and understood the attached Information Sheet on Complaints Against Arbitrators and the actual wording of CAMVAP's process. I/we confirm my/our choice NOT to challenge the arbitration award by judicial review, appeal or annulment and consent to our complaint being processed under the CAMVAP's complaint process instead.

By taking part in CAMVAP's complaint process I/we further agree that none of the information contained in the Arbitration Specialist's report or the decision of the Board of Directors will be used by me/us for any purposes other than as necessary to take part in the CAMVAP complaint process.

I/we understand that the complaint must be in writing and received by the General Manager not more than 60 days after the arbitrator's responsibility for the case has come to an end.

Date    Signature