ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address ):

FOR COURT USE ONLY

ADR-104

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

TELEPHONE NO.:

E–MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

REJECTION OF AWARD AND REQUEST FOR TRIAL
AFTER ATTORNEY-CLIENT FEE ARBITRATION

Jurisdiction (check all that apply):

Action is a limited civil case
Amount demanded 

Action is an unlimited civil case (exceeds $25,000)

does not exceed $10,000
exceeds $10,000, but does not exceed $25,000

CASE NUMBER:

NOTICE:  Please read Alternative Dispute Resolution form ADR-105, Information Regarding Rights After Attorney-Client 
Fee Arbitration, promptly and before completing this form. There are short deadlines for requesting court relief after an 
attorney-client fee arbitration award. Do not use this form to confirm, correct, or vacate an attorney-client fee arbitration 
award; use form ADR-103 instead.

1.

Petitioner and respondent. Petitioner (name each):

alleges and requests relief against respondent (name each):

2.

Attorney-client fee dispute arbitration. This Rejection of Award and Request for Trial concerns an arbitration to determine 
disputed attorney fees that was conducted under Business and Professions Code sections 6200–6206. Petitioner was
a.
b.

the attorney involved in the fee dispute.
the client involved in the fee dispute.

3.

Pending or new action.
a.

b.

Pending action. A court case concerning the attorney-client fee dispute involved in the arbitration is already pending, and 
this Rejection of Award and Request for Trial is being filed in that action.
New action. This Rejection of Award and Request for Trial is being filed with a complaint commencing a new 
action. (A request for trial must be filed in a pending case or with a complaint commencing a new action.)

Form Approved for Optional Use
Judicial Council of California
ADR-104 [New January 1, 2004]

REJECTION OF AWARD AND REQUEST FOR TRIAL
AFTER ATTORNEY-CLIENT FEE ARBITRATION
(Alternative Dispute Resolution)

Business and Professions Code, § 6200 et seq.;
Code of Civil Procedure, § 1285 et seq. 

Page 1 of 2

b.

c.

b.

c.

d.

e.

a.

b.

6.

7.

8.

9.

Date:

PETITIONER:

RESPONDENT:

CASE NUMBER:

4.

Arbitration hearing. The arbitration hearing was conducted as follows (complete each of the following):
a.

Date (each date of arbitration): 

Location (city and state where arbitration was conducted):  

Appearances at the arbitration. The arbitration hearing was conducted as follows (check one of the following):

(1)
(2)

Petitioner appeared at the arbitration hearing in person or by counsel. 

Petitioner did not appear at the arbitration hearing. Petitioner's failure to appear was not willful because 
(explain reasons for not appearing):

5.

Arbitration award.
a.

Date of award. The arbitration award was made on (date):   

Amount of award. The arbitration award (complete one of the following):
(1)
(2)

requires
requires neither the attorney nor the client to pay the other anything.

the attorney

the client        to pay the other party this amount:  $  

Failure to appear. The arbitrator found that the following party willfully failed to appear at the arbitration hearing:

(1)
(2)

Petitioner (name each):  
Respondent (name each):  

Other provisions of award. The award also provides (specify other terms or complete item 5e and attach a copy of the 
award):

Attachment of award. A copy of the arbitration award is submitted as Attachment 5(e). 

Notice of award.  This Rejection of Award and Request for Trial is being filed within 30 days after notice of the award was mailed to 
petitioner. (A trial after arbitration is available only if it is requested within 30 days after the notice of award was mailed to the party 
requesting the trial.)

The notice of the award indicates that it was mailed to petitioner on (date):  

Petitioner alleges that the award was actually mailed on (date):

Nonbinding arbitration. The parties did not agree in writing, at any time after the dispute over attorney fees or costs arose, to be 
bound by the arbitration award. (A trial after arbitration is not available if the parties agreed in writing after the dispute arose that 
the award would be binding.)

Rejection of award and request for trial. Petitioner rejects the arbitration award and requests a trial ("hearing de novo") in court 
to resolve the dispute over attorney fees and costs.   

Amount in dispute. The amount of attorney fees and costs in dispute is (amount):  $ 

10.

Pages and attachments. Number of pages attached: 

(TYPE OR PRINT NAME)

(SIGNATURE OF PETITIONER OR ATTORNEY)

ADR-104 [New January 1, 2004]

Page 2 of 2

REJECTION OF AWARD AND REQUEST FOR TRIAL
AFTER ATTORNEY-CLIENT FEE ARBITRATION
(Alternative Dispute Resolution)