You are hereby notified that copies of our arbitration agreement and this demand are being filed with the ADR Center,
and we request that they initiate administration of this arbitration.
In order to initiate the arbitration, Claimant must submit a copy of the contract and two copies of this demand form with the
proper filing fee to the ADR Center. Send the original of this demand to the Respondent.
ADR Center • 57 North Street, Suite 214 Danbury, CT 06810
(860) 832-8060 • www.adrcenter.net