C-26, r. 263 - Regulation respecting the conciliation and arbitration procedure for the accounts of members of the Ordre professionnel des technologues professionnels du Québec

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SCHEDULE II
(ss. 7 and 8)
APPLICATION FOR ARBITRATION OF AN ACCOUNT
I, the undersigned, ___________________________________________________________________________
(client’s name)

(domicile)
declare that:
(1) _____________________________________________________________________________________
(member’s name)
is claiming from me (or refuses to reimburse to me) a sum of money for professional services.
(2) I have enclosed a copy of the conciliation report.
(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 technologues professionnels du Québec (chapter C-26, r. 263).
(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 ___________________________________________________________________________________________
(member’s name)
the amount of the arbitration award.
_____________________________
Signature
O.C. 1241-93, Sch. II.