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Federal Mediation and Conciliation Service


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Forms & Applications for FMCS Services

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ARBITRATION

Resource	File Name	Description


Fillable Arbitrator's Report and Fee Statement [FMCS Form R-19] (rev 12/2010)	ArbitrationFormsFormR-19Expires12-31-2010-fill.pdf	Use this form to submit a fee statement. You may fill out this form and print it out.

Request for Arbitration Panel [Form R-43] (rev 12/2010)	ArbitrationFormsForm_R-43_Expire_12-31-2010.pdf	Use this form to request an arbitration panel.

Fillable Request for Arbitration Panel [Form R-43] (rev 12/2010)	ArbitrationFormsFormR-43Expires12-31-2010-fill.pdf	Use this form to request an arbitration panel. You may fill out this form and print it out. Please note that this is not an electronic filing. You must use the online system to file electronically.

Arbitrator's Personal Data Questionnaire [Form R-22] (rev 12/2010)	ArbitrationFormsForm_R-22_Expire_12-31-2010.pdf	This is the arbitrator's questionnaire form.

Fillable Arbitrator's Personal Data Questionnaire [Form R-22] (rev 01/03)	ArbitrationFormsFormR22Revised.pdf	This form is a fillable arbitrator's questionnaire form.

Arbitrator's Report and Fee Statement [FMCS Form R-19] (rev 12/2010)	ArbitrationFormsForm_R-19_Expire_12-31-2010.pdf	Use this form to submit a fee statement.

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