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Hiring Tools and Information
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Arbitration Policy Statement
If an employment dispute arises while you are employed at [Company], [Company] requests that you agree to submit any such dispute arising out of your employment or the termination of your employment (including, but not limited to, claims of unlawful termination based on race, sex, age national origin, disability, breach of contract or any other bias prohibited by law) exclusively to binding arbitration under the federal Arbitration Act, 9 U.S.C., Section 1. Similarly, any disputes arising during your employment involving claims of unlawful discrimination or harassment under federal or state statutes shall be submitted exclusively to binding arbitration under the above provisions. This arbitration shall be the exclusive means of resolving any dispute arising out of your employment or termination from employment by [Company] or you, and no other action can be brought by employees in any court or any forum.
By simply accepting or continuing employment with [Company], you automatically agree that arbitration is the exclusive remedy for all disputes arising out of or related to your employment with [Company] and you agree to waive all rights to a civil court action regarding your employment and the termination of your employment with [Company]; only the arbitrator, and not a judge nor a jury, will decide the dispute.
If you decide to dispute your termination or any other alleged incident during your employment, including but not limited to unlawful discrimination or harassment, you must deliver a written request for arbitration to [Company] within one (1) year from the date of termination, or one (1) year from the date on which the alleged incident(s) or conduct occurred, and respond within fourteen (14) calendar days to each communication regarding the selection of an arbitrator and the scheduling of a hearing. If [Company] does not receive a written request for arbitration from you within one (1) year, or if you do not respond to any communication from [Company] about the arbitration proceedings within fourteen (14) calendar days, you will have waived any right to raise any claims arising out of the termination of your employment with [Company], or involving claims of unlawful discrimination or harassment, in arbitration and in any court or other forum.
You and [Company] shall each bear respective costs for legal representation at any such arbitration. The cost of the arbitrator and court reporter, if any, shall be shared equally by the parties.
Acknowledgment of and Agreement
with [Company] Arbitration Policy
My signature on this document acknowledges that I understand the above Arbitration Policy and agree to abide by its conditions. I also acknowledge that I understand my employment is at-will and may be terminated at any time, with or without reason, by either [Company] or myself. I further agree that, in accordance with [Company]'s Arbitration Policy, that I will submit any dispute - including but not limited to my termination - arising under or involving my employment with [Company] to binding arbitration within one (1) year from the date the dispute first arose. I agree that arbitration shall be the exclusive forum for resolving all disputes arising out of or involving my employment with [Company] or the termination of that employment. I agree that I will be entitled to legal representation, at my own cost, during arbitration. I further understand that I will be responsible for half of the cost of the arbitrator and any incidental costs of arbitration.
Employee Name (printed) Date
Employee Signature
[x] (manager / supervisor / team leader / designated company representative) Signature
Date
Note to the employee: The original of this form will be placed in your personnel file. A copy of this form will be given to you by your [x] (manager / supervisor / team leader / designated company representative).
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