Application for the nomination of an adjudicator under

the CEDR Rules for Adjudication

Please complete and submit to: CEDR, 70 Fleet Street, London, EC4Y 1EU
Email:
Fax: 020 7536 6061

1. Details of Referring Party:

Name
Position
Company name
Address
Tel
Fax
Email

If you have a representative acting for you, please give their details below

Name
Position
Company name
Address
Tel
Fax
Email

The Referring Party named above hereby applies to CEDR for the nomination of an adjudicator to resolve a dispute under the rules of the CEDR Rules for Adjudication.

2. Details of Other Party:

Name
Position
Company name
Address
Tel
Fax
Email

If the other party has a representative acting for them, please give their details below if you know them

Name
Position
Company name
Address
Tel
Fax
Email

If there are more than two parties to the contract please list additional parties details on a separate sheet and attach to this application

3. Please attach a copy of the Notice of Adjudication (which must have been copied to all parties to the contract) and must include the following details:

  • names and addresses of each party to the contract
  • date of contract
  • brief description of dispute(s) to be referred to adjudication
  • when and where the dispute has arisen
  • redress sought

4. General

I request CEDR to nominate an Adjudicator and confirm that the Notice of Adjudication has been served on the other parties to the contract.

5. Application Fee

I attach an application fee of £…….…. plus VAT (please call CEDR for confirmation of the application fee).

Cheques should be made payable to CEDR Services Limited.

Bank transfers can be made to:

Account name:CEDR Services Limited

Account number:83092062

Bank:Barclays Bank PLC

Branch:Holborn, London, EC1

Sort Code:20-41-41

SignedDate

Please note

CEDR will nominate an Adjudicator within 5 days (excluding bank holidays) of receipt of this form and a copy of the Notice of Adjudication. The appointment does not form a contract with the Adjudicator with whom conditions of appointment and fees must be agreed directly.

Please carefully check all information, especially your own e-mail address, that you have supplied on this form.

© CEDR 2016

Centre for Effective Dispute Resolution 70 Fleet Street, London EC4Y 1EU

Tel: +44 (0)20 7536 6060 Fax: +44 (0)20 7536 6001 E-mail:

Registered in England no. 2422813 Registered Charity no. 1060369