Click to download the forms.
CIPAA Form 1 - Payment Claim
CIPAA Form 2 - Payment Response
CIPAA Form 3 - Notice of Adjudication
CIPAA Form 3A - Notice to the Director of the AIAC to register the adjudication
CIPAA Form 4 - Request to the chosen adjudicator to act
CIPAA Form 5 - Request to the Director of the AIAC to appoint an adjudicator
CIPAA Form 6 - Notice of acceptance of the appointment to act as adjudicator
CIPAA Form 7 - Adjudication Claim
CIPAA Form 8 - Adjudication Response
CIPAA Form 9 - Adjudication Reply
CIPAA Form 10 - Agreement to extend the adjudicator’s jurisdiction
CIPAA Form 11 - Notice of withdrawal of adjudication claim/proceedings
CIPAA Form 12 - Notice of consolidation of adjudication proceedings
CIPAA Form 13 - Adjudicator’s request for extension of time to deliver the adjudication decision
CIPAA Form 14 - Notice for withholding the release of the decision until payment of fees and expenses in full
CIPAA Form 15 - Sample Format of an adjudication decision
CIPAA Form 16 - Delivery of Adjudication Decision