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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. A-4. Read Appendix XXII-A - Uniform Arbitration Statement of Facts (R.Instant access to fillable Microsoft Word or PDF forms. Minimize the risk of using outdated forms and eliminate rejected fillings. Appendix XXII-A - Uniform Arbitration Statement of Facts (R. The section begins with information regarding the authority of the arbitration panel. The section begins with information regarding the authority of the arbitration panel. (f) If the court orders arbitration, the court, on just terms, shall stay any judicial proceeding that involves a claim subject to the arbitration. For each: Name, Full Address, Phone, How you came to know this person. >Provide 5 reports or decisions you rendered as either a fact finder or arbitrator.