Fillable Request and Agreement to Arbitrate Form #A-1 (Colorado Association of Realtors)

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Request and Agreement to Arbitrate Form #A-1 (Colorado Association of Realtors)

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Form #A-1
Colorado Association of REALTORS®
309 Inverness Way S
Englewood, CO 80112
303-790-7099
Request and Agreement to Arbitrate
(1) The undersigned, by becoming and remaining a member of the Board of REALTORS
®
(or Participant
in its MLS), has previously consented to arbitration through the Board under its rules and regulations.
(2) I am informed that each person named below is a member in good standing of the Board (or Participant in its
MLS), or was a member of said Board of R
EALTORS
®
at the time the dispute arose.
(3) A dispute arising out of the real estate business as defined by Article 17 of the Code of Ethics exists between
me (or my firm) and (list all persons and/or firms you wish to name as respondents to this arbitration):
REALTOR
principal
Name Address
REALTOR
principal
Name Address
Firm Address
(NOTE: Arbitration is generally conducted between REALTORS
(principals) or between firms comprised of
REALTOR
principals. Naming a REALTOR
Principal as a respondent enables the complainant to know
who will participate in the hearing from the respondent’s firm; naming a firm may increase the likelihood of
collecting any resulting award.)
(4) There is due, unpaid and owing to me (or I retain) from the above-named persons the sum of $ ________ .
My claim is predicated upon the statement attached, marked Exhibit I and incorporated by reference into this
application. The disputed funds are currently held by .
(5) I request and consent to arbitration through the Board in accordance with its Code of Ethics and Arbitration
Manual (alternatively, “in accordance with the professional standards procedures set forth in the bylaws of the
Board”), and I agree to abide by the arbitration award and to comply with it promptly.
In the event I do not comply with the arbitration award and it is necessary for any party to this arbitration to
obtain judicial confirmation and enforcement of the arbitration award against me, I agree to pay the party
obtaining such confirmation the costs and reasonable attorney’s fees incurred in obtaining such confirmation
and enforcement.
(6) I enclose my check in the sum of $450 for the arbitration filing deposit.**
(7) I understand that I may be represented by legal counsel, and that I should give written notice no less than
fifteen (15) days before the hearing of the name, address, and phone number of my attorney to all parties and
the Board. Failure to provide this notice may result in a continuance of the hearing, if the Hearing Panel
determines that the rights of the other party(ies) require representation.
*Complainants may name one or more REALTOR
principals or a firm comprised of REALTOR principals as
respondent(s). Or, complainants may name REALTOR
principals and firms as respondents.
** Not to exceed $500
(8) Each party must provide a list of the names of witnesses he intends to call at the hearing to the Board and to all
other parties not less than fifteen (15) days prior to the hearing. Each party shall arrange for his witnesses to be
present at the time and place designated for the hearing. The following REALTOR® nonprincipal (or
REALTOR-ASSOCIATE® nonprincipal) affiliated with my firm has a financial interest in the outcome of the
proceeding and may be called as a witness, and has the right to be present throughout the hearing:
________________________________________________________________________________________.
All parties appearing at a hearing may be called as a witness without advance notice.
(9) I declare that this application and the allegations contained herein are true and correct to the best of my
knowledge and belief and this request for arbitration is filed within one hundred eighty (180) days after the
closing of the transaction, if any, or within one hundred eighty (180) days after the facts constituting the
arbitrable matter could have been known in the exercise of reasonable diligence, whichever is later.
(10) If either party to an arbitration request believes that the Grievance Committee has incorrectly classified the
issue presented in the request (i.e., mandatory or voluntary), the party has twenty (20) days from the date of
receipt of the Grievance Committee’s decision to file a written appeal of the decision. Only those materials that
the Grievance Committee had at the time of its determination may be considered with the appeal by the Board
of Directors.
(11) Are the circumstances giving rise to this arbitration request the subject of civil litigation? Yes No
(12) Important note related to arbitration conducted pursuant to Standard of Practice 17-4 (1) or (2): Where
arbitration is conducted between two (or more) cooperating brokers pursuant to Standard of Practice 17-4 (1)
or (2), the amount in dispute and the amount of any potential resulting award is limited to the amount paid to
the respondent by the listing broker, seller, or landlord and any amount credited or paid to a party to the
transaction at the direction of the respondent.
(13) Address of the property in the transaction giving rise to this arbitration request:
(14) The sale/lease closed on:
(15) Agreements to arbitrate are irrevocable except as otherwise provided under state law.
Complainant(s):
Name (Type/Print)
Signature of REALTOR
Principal
Date
Address
Telephone
Email
Name (Type/Print)
Signature of REALTOR Principal
Date
Address
Name of Firm* Address
Telephone
Email
* In cases where arbitration is requested in the name of a firm comprised of REALTORS
(principals), the request
must be signed by at least one of the REALTOR
principals of the firm as a complainant.
(Revised 11/14)
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Request and Agreement to Arbitrate Form A-1 (Colorado Association of Realtors)

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Completed 29 July 2020

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