APPLICATION FOR ARBITRATION OF AN ACCOUNT
I, the undersigned, ..............
(client’s name)
..............
(domicile)
declare that:
(1) ..............
(architect’s name)
is claiming from me (or refuses to reimburse to me) a sum of money for professional services.
(2) (Paragraph revoked).
(3) I am applying for arbitration of the account under the Regulation respecting the conciliation and arbitration procedure for the accounts of members of the Ordre professionnel des architectes du Québec (chapter A-21, r. 12).
(4) I have received a copy of the Regulation mentioned above and have taken cognizance thereof.
(5) I agree to submit to the procedure provided for in that Regulation and, where required, to pay to
..............
(architect’s name)
the amount of the arbitration award.
..............
Signature