WPC  I'lxK&'D@q'Jѷ%&ղ9Ksuu6b0lӝ8Jܤuy032 v . ?y.9/W@'c[߈tmWA;.~^,KsI^@O+&ʺ(EJx*>(?P&?\AT d 9jz~*v ?B-Tq!TY~/R0)|@_cff5$e7{Oi}TܰػEQ9z:n8KA i 9r(mĊ]+:I0 bOj(A>Js f[3Dgzm^MES)j5  "aF  jp|eJCh;$h@aYka Ҕ5J<8ۂR#4U N %K 0(Qwy4} mU: N ^ U@ 1% 1u 0+c' 6 0N 72 J@ HP LaserJet 2200 Series PCL 60x9 Z6Times New Roman RegularX($H92Highligh~3|xU HEINEMANNGIOKASCADMANUNIONDALEHAUPPPAUGERabroLaSpinaNorthportCredleiHauppaugeUniondale,Admission___________^YES____________________NO____________________$YES_____________ NO____________ YES___________NO___________2Brooklyn_______________2Hauppauge______________2Uniondale______________"NO_____________FederrAZ"Arial RegularN92  <v 9+(Courier New Bold(CEMU]emu}AutoList1(1)(1)(1)(1)(1)(1)(1)(1)3#37=CIQYag1.a.i.(1)(a)(i)1)a)(;3$2#  0  .3  0  www.nyed.uscourts.gov/adr.(O$i)mailto:rita_credle@nyed.uscourts.gov !  _Ԁ@N N  UNITEDSTATESDISTRICTCOURT  ruXX@eeEASTERNDISTRICTOFNEWYORK  ROBERTC.HEINEMANNPLEASEREPLYTO:  ruԀCLERK0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#0p(#p(#ru___BROOKLYNOFFICEb(#(# JAMESGIOKAS `     h      p   ruU.S.COURTHOUSE  P ЀCHIEFDEPUTY `     h      p   225CADMANPLAZAEAST      `     h      p   BROOKLYN,NEWYORK11201  R    `     h      p   ____ruUNIONDALEOFFICE f      `     h      p   ruUNIONDALEAVENUEATHEMPSTEAD  T     `     h      p TURNPIKE       `     h      p   UNIONDALE,NEWYORK11553  V     `     h      p   ____ruHAUPPPAUGEOFFICE j   ru   `     h      p   300RabroDrive  X    `     h      p HAUPPPAUGE,NewYork11788 l   XX X_UXXXDearSir/Madam: P  ̀ThankyouforyourinterestinbecomingamemberoftheCourtAnnexed   ArbitrationProgramattheEasternDistrictofNewYork.Enclosed/attachedisan  applicationforcertificationasanarbitrator.Additionalinformationregardingour d MediationProgramisalsoenclosed/attached.#XXX X_U # X_UXXXԀYoumayalsorefertoourwebsiteat: 0 ̀4 O  5  www.nyed.uscourts.gov/adr.6* O>   7 l  L ̀Ifyouhaveanyquestionsrelatingtothearbitrationprogram,pleasedonot   hesitatecontactingme_at_Ԁ(718)2602325.Ifyouhavequestionregarding z" Mediation,contactGerald_Lepp_Ԁat(718)2502577/2578 F$ ̀Verytrulyyours, !b& __________________________ ".( ЀRitaM.Credle, #) ЀArbitrationClerk $* Ѐ(718)2602325 % + #XXX X_U #   `  -&)4 Ї  _XXXX@APPLICATIONFORCERTIFICATIONASANARBITRATOR X @V V FORMATFORCOURTANNEXEDARBITRATION <  _@U.S.DISTRICTCOURTEASTERNDISTRICTOFNEWYORK  p    `     h      p  (83"3"  32(  1  )3  0    Name:______________________________OfficePhone:3݌ 8"" Ќ     `     h      p   _________________      Office     Address:_____________________________      ` _____________________________ x     ` _____________________________ \     `  @    Home $t    Address:_____________________________0  HomePhone:X""    ` _______________________________________________ <    ` _____________________________   "3"  32(  2  )3  0    DateAdmittedtoPracticebefore:3݌"" Ќ      A)AppellateDivisionoftheSupremeCourt `   oftheStateofNewYork.................______________ D   i)AppellateDepartment..................______________ (x   B)UnitedStatesDistrictCourt  \   EasternDistrictofNewYork..............______________ @ "3"  3Z2(  3  )3  0    Dateadmittedtopracticebeforethehighestcourtofa3Z݌"" Ќ    stateotherthanNewYork:      Court:________________________DateofAdmission___________ d  "3"  32(  4  )3  0    Setforthbrieflyinchronologicalorder,withdates,the ,"|! natureofyourpracticeoflawsinceadmissiontotheBar:3-݌#`""" Ќ      ___________________________________________________________ $( $   ___________________________________________________________ % !%   ___________________________________________________________ &!&   ___________________________________________________________ '"' "3"  32(  5  )3  0    Areyoupresentlyengagedintheactivepracticeoflawin3݌L)$)"" Ќ    theEasternDistrictofNewYork? 0*%*   YES____________________NO____________________ +d&+ "3"  3f2(  6  )3  0    Statebrieflythenatureofyourpresentpractice:3f݌,,(-"" Ќ  ݀___________________________________________________________ -). Ї"3"  32(  7  )3  0    Whatpercentofyourpracticeconsistsof3݌\"" Ќ    representingdefendants:__________ @ ̀Whatpercentofyourpracticeconsistsof  X   representingplaintiffs:__________  < Ѐ   "3"  3!2(  8  )3  0    PleaselistanydistrictjudgeorU.S.magistratein3!!݌  "" Ќ    thisdistrictbeforewhomyouhaveappearedorwho      otherwisemayhaveknowledgeofyourqualifications |    ________________________________________________ D    ________________________________________________  \    ________________________________________________ $ "3"  33$2(  9  )3  0    IfyouhavenotnamedanyjudgeofthisCourtinanswerto33$`$݌"" Ќ    questionNo.8,pleaselistanyotherfederaljudgesor    statejudgesbeforewhomyouhaveappearedorwhomay d   otherwisehaveknowledgeofyourqualifications H   __________________________________________________ ` "3 "  3&2(  10  )3  0    HaveyoueverbeendisciplinedbyanyCourtor ( AdministrativeOfficeofaCourt?If Yesgivedetails.3&&݌ "" Ќ    HHYES_____________NO____________    ___________________________________________________ L    ___________________________________________________ "d!   ___________________________________________________ #,# "3 "  3Y)2(  11  )3  0    Pleasesetforthanyadditionalinformationyoubelieve3Y))݌% %"" Ќ    wouldbearuponyourqualificationstoserveasan &!&   arbitrator.Youmayattachadditionalpages,ifnecessary. l'"'   ___________________________________________________ 4)$)   ___________________________________________________ *L&+   ___________________________________________________ ,(-  -(. @)2  _  H"3 "  3,2(  12  )3  0    Doyouunderstandthecompensationlimitationsfor  < arbitratorsappointedundertheArbitrationPlan3,,݌ "" Ќ    anddoyouagreestoacceptasfullcompensation      paymentswithinthoselimits?      YES___________NO___________ `  "3 "  3.2(  13  )3  0    Ifyouarecertifiedasanarbitrator,wouldyoubewilling3..݌(x "" Ќ    tohearcasesat:  \     `  Brooklyn_______________ $    `  CentralIslip____________     `     h      p   "3 "  302(  14  )3  0    Ifyouarecertifiedasanarbitrator,wouldyoube d willing,onoccasion,toserveon shortnoticein301݌H"" Ќ    situationswhere,forsomereason,oneofthearbitrators ,|   originallyappointedisnotavailable? `   YES___________0  NO_____________(""   IHEREBYCERTIFYTHATTHEABOVE h    `     h INFORMATIONISTRUEANDCORRECT L     `     h _________________________________ "H"    `     h   (Signature) #,# DATE:______________________________ l'"' @)3 ,(-  -(. Ї(ADDENDUM) x CHECKTHEFIELDSOFSPECIALIZATIONOFYOURPRESENTPRACTICE @ 1.0  Admiralty0 ""0 " "______ <"" 2.0  Business0 ""0 " "______(Specify)______________________ "" Ѐ______________________    3.GeneralPractice______    4.MedicalMalpractice______ |  5.ProductLiability______ `  6.Labor0 0 " "______D "" OTHER:_____________________ (x  Ѐ_____________________  \  Ѐ_____________________   @ __________________________Thecompletedapplicationcanbesentto: H _ARBITRATON_ԀPROGRAM: ,| RitaM.Credle, ` ArbitrationClerk D Email:4 O  5  rita_credle@nyed.uscourts.gov6 ;O;  7 M; ( Fax:(718)2602546   U.S.DistrictCourt,_EDNY_  225CadmanPlazaEast  Brooklyn,NY11205 h (718)2602325 L  ̀4