Contra Costa County Bar Association
REQUEST FOR ARBITRATION HEARING DATES

CASE TITLE:_________________________ v. _________________________

1.  HEARING DATE:  To avoid having a hearing date set that is inconvenient for you, please CROSS OUT (X) those dates which you are NOT available on the months listed below.  You should leave as many days free as possible, but you must leave at least 7 days a month free, or attach an explanation showing good cause as to why you are unavailable.

200_
Month of ________________________

Month of ________________________

NOTE:  Saturday, Sundays, holidays and any other unavailable days have already been marked off (X).

2.  LENGTH OF HEARING:  How many hours of hearing would you estimate this case will require?__________

3.  RETURN FORM BY:___________________.  If this form is not received in our office by the date shown above, it will be assumed that you are available any day and a hearing date will be set accordingly.  You will then be required to attend.

4.  RETURN THIS FORM TO:_____________________________________________
Arbitrator's Name
_____________________________________________
Firm Name
_____________________________________________
Address
_____________________________________________
      City, State, Zip

5. INITIAL____________ & DATE ____________