Dispute Appointment Service

Request for Three Names for Arbitration

Notes

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 £120.00 (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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Preferences

Preference for the requested party's background and skills

Party One*
Maximum 2,000 characters
Maximum 2,000 characters
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Declaration

Request for Three Names for Arbitration

Your application is accepted on the basis that the information you provide is both accurate and complete. The liability of CIArb and the appointed arbitrator in relation to the appointment may be restricted if the information provided is inaccurate or incomplete.

The parties hereby request/the Applicant hereby requests the Chartered Institute of Arbitrators (CIArb) to suggest the names of three arbitrators, for prospective appointment as an arbitrator in a dispute which has arisen between the parties.

I/we agree, as a condition of CIArb’s fulfilment of this mandate:

  • To pay the reasonable fees and expenses of the arbitrator;
  • To inform the arbitrator in the event of the settlement of the dispute before the arbitration has concluded; and
  • That it is acknowledged that the Chartered Institute of Arbitrators is not liable, by reason of having suggested the arbitrator, for anything done or omitted to be done by the arbitrator in the discharge or purported discharge of his/her functions.
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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 £120.00 (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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