Civil Court Rules and Jury Charges

Kenneth Vercammen & Associates, P.C.
2053 Woodbridge Avenue - Edison, NJ 08817

Thursday, August 27, 2009

Appendix XXII-B - Uniform Commercial Arbitration Memorandum (R. 4:21A-4)

UNIFORM COMMERCIAL ARBITRATION MEMORANDUM
(All Information Must Be Legibly Printed Or Typed)


PLEASE RETURN TO:





Number of Witnesses you are Anticipated length of time
offering at Arbitration: for your presentation:


1. Brief factual outline as to your position:





2. Set forth disputed facts and issues by any party in outline form:





3. Provide facts that you anticipate will be undisputed:





4. Set forth legal issues to be addressed by arbitrator:





5. Please quantify elements of your alleged damages:





6. Set forth issues addressed in expert reports (attach copies):








Revised 7/13/2000, CN 10506-English page 1 of 2

7. Discuss mitigation of damages (if applicable):





8. Describe the basis for the defenses you assert to the complaint and/or counterclaim:






9. Have all parties been served: Yes No
10. Are any parties in default? Yes No
11. ist any unserved and/or defaulted parties: L







12. Should any special expertise be required by the arbitrator, e.g., should the arbitrator be familiar with a
particular discipline and/or industry? If yes, please specify:







I certify this information to be complete and accurate and that copies of this statement have been
timely served on all adversaries pursuant to R. 4:21A-4.



Signature of Attorney or Pro Se Litigant Date




(Please print or type name)




Attorney For





NOTE: Information provided on this form can not be used for
evidentiary purposes in any trial of this matter.


Revised 7/13/2000, CN 10506-English page 2 of 2