Fill and Sign the Xpart 137 Local Program PDF Packetsnassauall Formswpd

(Office Use Only) Date Received _________________ Case Number: _________________ UCS 137-14 (11/01) CONSENT TO SUBMIT FEE DISPUTE TO ARBITRATION PURSUA NT TO PART 137.2 (c) OF THE RULES OF THE CHIEF ADMINISTRATOR AND TO WAIVE RIGHT TO TRIAL DE NOVO [The language below may be incorporated into a retainer a greement between the parties] The parties to this agreement, ______________________________________ ( “Client ”), and _____________________________________________, Esq. ( “ Attorney”), agree that in the event a dispute should arise as to the attorney ’s fee for legal services, they will resolve the fee dispute by arbitration conducted pursuant to Part 137 of the Rul es of the Chief Administrator of the Courts (22 NYCRR), except that they agree to be bound by the decision of the arbitrator(s) and agree to waive their rights to reject the arbitrat or(s) award by commencing an action on the merits (trial de novo) in a court of law within 30 days after the arbitrator(s ) decision has been mailed. By signing this agreement, attorney and client acknowledge that they have received and read the official written instructions and procedures for Part 137 and the written instructions and procedures for the . Attorney and Client understand that they are not requi red to agree to waive their right to seek a trial de novo under Part 137. This agreement does not foreclose the part ies’ attempting to resolve this fee dispute at any time through voluntary mediation. (Please print names below signatures) Dated:_______________________