Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY PROBATE

BINDING ARBITRATION AWARD
PAGE 1 OF 3

Original - Court
1st copy - Plaintiff
2nd copy - Defendant

CASE NO.

Court  address

Court  telephone  no.

Plaintiff name(s), address(es), and telephone no(s).

Defendant name(s), address(es), and telephone no(s).

v

Plaintiff's attorney, bar no., address, and telephone no.

Defendant's attorney, bar no., address, and telephone no.

Probate

In the matter of

For:

Against:

Damages:
Costs:
Attorney fee:

statutory
other:

Total judgment amount:

This judgment will earn interest at statutory rates,
computed from the filing date of the complaint.

After hearing

Consent

Hearing transcript made and used

Basis for Binding Arbitration
Statutory based on contract
Stipulation on court referral; MCR 2.410, MCR 5.143
Other (specify)

ORDER OF AWARD

NOTE:  Awards based on statutory employment claims must
be supported.  Complete and attach pages 2 and 3.

$
$
$

$

to

Nature of Claim Arbitrated

Statutory  (specify)
Employment
Commercial
Contract
Personal injury - Tort
Personal injury - Other (specify)
Other  (specify)

to

.

The judgment interest accrued thus far is $

the statutory rate of           % from

and is based on: If additional rates apply, attach a separate sheet.
to

.

the statutory 6-month rate(s) of          % from

, and

%

from

Other conditions, if any:

Approved as to form, notice of entry waived.

Award date
Bar no.
The award has been entered and will be final unless within 21 days after entry and delivery of the award a motion to vacate, modify, or correct the award
is filed.

Arbitrator

CERTIFICATE OF MAILING

 
I certify that on this date I served a copy of this award on the parties or their attorneys by first-class mail addressed to their last-known
addresses as defined by MCR 2.107(C)(3).

Date

Signature

MC 284   (3/09)   BINDING ARBITRATION AWARD, PAGE 1 OF 3

MCR 2.410, MCR 3.602

Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY PROBATE

BINDING ARBITRATION AWARD
PAGE 2 OF 3

Original - Court
1st copy - Plaintiff
2nd copy - Defendant

CASE NO.

Court  address

Court  telephone  no.

Plaintiff name(s), address(es), and telephone no(s).

Defendant name(s), address(es), and telephone no(s).

v

Probate

In the matter of

Material Findings of Fact:  Attach additional pages if necessary.

Material Conclusions of Law:  Attach additional pages if necessary.

Basis for Specific Relief Granted:  Attach additional pages if necessary.

Other Comments or Information:  Attach additional pages if necessary.

Date

Arbitrator

MC 284   (3/09)   BINDING ARBITRATION AWARD, PAGE 2 OF 3

Bar no.

MCR 2.410, MCR 3.602

Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY PROBATE

BINDING ARBITRATION AWARD
PAGE 3 OF 3

Original - Court
1st copy - Plaintiff
2nd copy - Defendant

CASE NO.

Court  address

Court  telephone  no.

Plaintiff name(s), address(es), and telephone no(s).

Defendant name(s), address(es), and telephone no(s).

v

Probate

In the matter of

Witnesses:  Attach additional pages if necessary.

Name

Address

Called by

Fact/Expert

Date

Exhibits:  Attach additional pages if necessary.

Offered by

Marked as

Description

Admitted:  Yes/No

Date

Arbitrator

MC 284  (3/09)   BINDING ARBITRATION AWARD, PAGE 3 OF 3

Bar no.

MCR 2.410, MCR 3.602