The oath, award of arbitrators and notice of entry shall be in substantially the following form:

(Caption)

OATH

We do solemnly swear (or affirm) that we will support, obey and defend the Constitution of the United States and the Constitution of this Commonwealth and that we will discharge the duties of our office with fidelity. ______________________________________

Chair

______________________________________ ______________________________________

AWARD

We, the undersigned arbitrators, having been duly appointed and sworn (or affirmed), make the following award: (Note: If damages for delay are awarded, they shall be separately stated.) ______________________________________ ______________________________________

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Arbitrator, dissents. (Insert name if applicable.)Date of Hearing:

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______________________________________

Chair

______________________________________ ______________________________________

Date of Award: ______________________________________

NOTICE OF ENTRY OF AWARD

Now, the day of , , at .M., the above award was entered upon the docket and notice thereof given by mail to the parties or their attorneys.

Arbitrators’ compensation to be paid upon appeal:

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Prothonotary$

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…By:

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Deputy