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Attorney-Client Mediation and Arbitration Services
Client Petition for Arbitration Application

* Denotes a required field
Client Information:
*First Name:
Middle Initial:
*Last Name:
*Address 1:
Ex. 1055 W. 7th Street
Address 2:
Ex. Suite 2700
*City:
State: *Zip:
*Phone Number:
Email:
    You can add more than one.
Click this button after you are done entering the party's information.
Clients Added:

Attorney Information: The attorney you have a dispute with.
*First Name:
Middle Initial:
*Last Name:
Law Firm Name:
*Address 1:
Ex. 1055 W. 7th Street
Address 2:
Ex. Suite 2700
*City:
State: *Zip:
*Phone Number:
Fax:
Email:
    You can add more than one.
Click this button after you are done entering the party's information.
Attorneys Added:

Person(s) that do not have an attorney-client relationship but who have agreed, in writing, to be responsible for the fee may request arbitration to dispute the fee.
If you are someone that fits this description, check this box to enter your information.

Representing Attorney:
If you have an attorney representing you for this arbitration, check this box to enter their information.

Case Information:
1. Are you interested in submitting your dispute to fee mediation?
YES NO
2. Did the Lawyer Referral and Information Service of the Los Angeles County Bar Association refer you to the attorney?
YES NO
3. * How much is the total fee charged or the attorney billed?
Numbers Only
4. * How much of the fee has been paid?
Numbers Only
5. * How much of the fee is in dispute? (Please give a specific figure.)
Numbers Only
6. * Briefly explain why you think the attorney charged too much
500 characters left
7. Has a lawsuit been filed to collect these fees?
YES NO
8. If you have been sued, did you answer the lawsuit?
YES NO
9. Have you filed a lawsuit against the attorney?
YES NO
10. Did you and the attorney have a written agreement?
YES NO
11. Did you receive a notice of your right to arbitrate from the attorney?
YES NO
If so, when did you receive it? MM/DD/YYYY
12. Were the fees court ordered or set by law?
YES NO
Binding Arbitration
13. Under the programs policy, you must agree to binding arbitration unless you are disputing $10,000 or more.
If you do not want to agree to binding arbitration and you are disputing less than $10,000, please contact:
The State Bar of California, 180 Howard Street, San Francisco, CA 94105, (415) 538-2020.
I agree to binding arbitration.
I do not agree to binding arbitration. My dispute is for more than $10,000.
14. You are entitled to designate an arbitrator who practices civil or criminal law to hear your dispute (however, your choice must match the type of law in the matter the attorney represented you in).
Please check one below:
I do not have a preference
Civil Law Arbitrator
Criminal Law Arbitrator
15. What was the specific type of law involved in your matter?
16. When did the attorney stop representing you?
MM/DD/YYYY
17. Filing Fee
YOU MUST NOTIFY THE LOS ANGELES COUNTY BAR ASSOCIATION IF THE AMOUNT OF TOTAL FEES CHARGED OR ALLEGED TO HAVE BEEN CHARGED BY THE ATTORNEY CHANGES AND PAY ANY ADDITIONAL FILING FEES ASSOCIATED WITH THE INCREASE BEFORE THE CASE WILL PROCEED TO HEARING. THE PARTY WHO REQUESTED THE INCREASE WILL PAY THE ADDITIONAL FEES DUE.
You may contact the program office if you need assistance with the calculation of the filing fee. Program staff will not assign a mediator/arbitrator until we receive the entire filing fee.
Your filing fee is $.
Click here to view our refund policy


By entering the numbers below and submitting this application, I/we agree to submit this dispute to the Los Angeles County Bar Association's Attorney-Client Mediation and Arbitration Services Committee for hearing and decision and award. I agree to abide by the rules of this Committee. I declare under penalty of perjury under the laws of the State of California that my statements on this request and any attachments are true and correct.

Enter the number below to the field on the right and click the "Submit Application" button.

0955