Please ensure that you fill in valid email addresses where applicable.

Identification & Contact Details

Go To Next Section
WHAT IS THE PURPOSE OF THIS FORM?
If conciliation fails, a party may request that the CCMA resolve the dispute by arbitration.

WHO FILLS IN THIS FORM?
The party requesting the arbitration.

WHERE DOES THIS FORM GO?
The Registrar, Regional Office of the CCMA. This should be the same office, which conducted the conciliation. If an accredited council or agency is to arbitrate the dispute, the request for arbitration must be sent to their offices.If in doubt, contact the CCMA for help.

OTHER INSTITUTIONS
A copy of this form must be served on the other party.
Proof that a copy of this form has been served on the other party must be supplied by attaching any of the following:

  • A copy of a registered slip from the Post Office; or
  • A copy of the signed receipt if hand delivered; or
  • A signed statement confirming service by the person delivering the form; or
  • A copy of a fax or email confirmation slip; or
  • Any other satisfactory proof of service.

The CCMA may be requested to assist with service.

CHECK!
Have you sent a copy of this completed form to the other party?

Have you included proof that you have sent a copy to the other party with this form?

Have you attached the certificate confirming that the dispute was unresolved through conciliation?

LEGISLATION REFERENCES
  • Labour Relations Act, 1995 Sections 9, 16, 21, 22, 24, 26, 45, 61, 63, 64, 72, 74,86, 89, 94, 134, 191(1), 198 and 198A-C.
  • Employment Equity Act, 1998 Section 10.
  • Basic Conditions of Employment Act, 1997 Sections 41, 69(5), 73A, 80, 84.
  • Skills Development Act, 1998 Section 19.
  • National Minimum Wage Act, 2018 Section 4(8).
Back Go To Next Section
WHAT IS THE PURPOSE OF THIS FORM?
If conciliation fails, a party may request that the CCMA resolve the dispute by arbitration.

WHO FILLS IN THIS FORM?
The party requesting the arbitration.

WHERE DOES THIS FORM GO?
The Registrar, Regional Office of the CCMA. This should be the same office, which conducted the conciliation. If an accredited council or agency is to arbitrate the dispute, the request for arbitration must be sent to their offices.If in doubt, contact the CCMA for help.

OTHER INSTITUTIONS
A copy of this form must be served on the other party.
Proof that a copy of this form has been served on the other party must be supplied by attaching any of the following:

  • A copy of a registered slip from the Post Office; or
  • A copy of the signed receipt if hand delivered; or
  • A signed statement confirming service by the person delivering the form; or
  • A copy of a fax or email confirmation slip; or
  • Any other satisfactory proof of service.
The CCMA may be requested to assist with service.

CHECK!
Have you sent a copy of this completed form to the other party?

Have you included proof that you have sent a copy to the other party with this form?

Have you attached the certificate confirming that the dispute was unresolved through conciliation?

LEGISLATION REFERENCES
  • Labour Relations Act, 1995 Sections 9, 16, 21, 22, 24, 26, 45, 61, 63, 64, 72, 74,86, 89, 94, 134, 191(1), 198 and 198A-C.
  • Employment Equity Act, 1998 Section 10.
  • Basic Conditions of Employment Act, 1997 Sections 41, 69(5), 73A, 80, 84.
  • Skills Development Act, 1998 Section 19.
  • National Minimum Wage Act, 2018 Section 4(8).
Please ensure that you fill in valid email addresses where applicable.

Identification & Contact Details

Back Go To Next Section
WHAT IS THE PURPOSE OF THIS FORM?
If conciliation fails, a party may request that the CCMA resolve the dispute by arbitration.

WHO FILLS IN THIS FORM?
The party requesting the arbitration.

WHERE DOES THIS FORM GO?
The Registrar, Regional Office of the CCMA. This should be the same office, which conducted the conciliation. If an accredited council or agency is to arbitrate the dispute, the request for arbitration must be sent to their offices.If in doubt, contact the CCMA for help.

OTHER INSTITUTIONS
A copy of this form must be served on the other party.
Proof that a copy of this form has been served on the other party must be supplied by attaching any of the following:

  • A copy of a registered slip from the Post Office; or
  • A copy of the signed receipt if hand delivered; or
  • A signed statement confirming service by the person delivering the form; or
  • A copy of a fax or email confirmation slip; or
  • Any other satisfactory proof of service.
The CCMA may be requested to assist with service.

CHECK!
Have you sent a copy of this completed form to the other party?

Have you included proof that you have sent a copy to the other party with this form?

Have you attached the certificate confirming that the dispute was unresolved through conciliation?

LEGISLATION REFERENCES
  • Labour Relations Act, 1995 Sections 9, 16, 21, 22, 24, 26, 45, 61, 63, 64, 72, 74,86, 89, 94, 134, 191(1), 198 and 198A-C.
  • Employment Equity Act, 1998 Section 10.
  • Basic Conditions of Employment Act, 1997 Sections 41, 69(5), 73A, 80, 84.
  • Skills Development Act, 1998 Section 19.
  • National Minimum Wage Act, 2018 Section 4(8).
Back Go To Next Section
WHAT IS THE PURPOSE OF THIS FORM?
If conciliation fails, a party may request that the CCMA resolve the dispute by arbitration.

WHO FILLS IN THIS FORM?
The party requesting the arbitration.

WHERE DOES THIS FORM GO?
The Registrar, Regional Office of the CCMA. This should be the same office, which conducted the conciliation. If an accredited council or agency is to arbitrate the dispute, the request for arbitration must be sent to their offices.If in doubt, contact the CCMA for help.

OTHER INSTITUTIONS
A copy of this form must be served on the other party.
Proof that a copy of this form has been served on the other party must be supplied by attaching any of the following:

  • A copy of a registered slip from the Post Office; or
  • A copy of the signed receipt if hand delivered; or
  • A signed statement confirming service by the person delivering the form; or
  • A copy of a fax or email confirmation slip; or
  • Any other satisfactory proof of service.
The CCMA may be requested to assist with service.

CHECK!
Have you sent a copy of this completed form to the other party?

Have you included proof that you have sent a copy to the other party with this form?

Have you attached the certificate confirming that the dispute was unresolved through conciliation?

LEGISLATION REFERENCES
  • Labour Relations Act, 1995 Sections 9, 16, 21, 22, 24, 26, 45, 61, 63, 64, 72, 74,86, 89, 94, 134, 191(1), 198 and 198A-C.
  • Employment Equity Act, 1998 Section 10.
  • Basic Conditions of Employment Act, 1997 Sections 41, 69(5), 73A, 80, 84.
  • Skills Development Act, 1998 Section 19.
  • National Minimum Wage Act, 2018 Section 4(8).
Back Go To Next Section
WHAT IS THE PURPOSE OF THIS FORM?
If conciliation fails, a party may request that the CCMA resolve the dispute by arbitration.

WHO FILLS IN THIS FORM?
The party requesting the arbitration.

WHERE DOES THIS FORM GO?
The Registrar, Regional Office of the CCMA. This should be the same office, which conducted the conciliation. If an accredited council or agency is to arbitrate the dispute, the request for arbitration must be sent to their offices.If in doubt, contact the CCMA for help.

OTHER INSTITUTIONS
A copy of this form must be served on the other party.
Proof that a copy of this form has been served on the other party must be supplied by attaching any of the following:

  • A copy of a registered slip from the Post Office; or
  • A copy of the signed receipt if hand delivered; or
  • A signed statement confirming service by the person delivering the form; or
  • A copy of a fax or email confirmation slip; or
  • Any other satisfactory proof of service.
The CCMA may be requested to assist with service.

CHECK!
Have you sent a copy of this completed form to the other party?

Have you included proof that you have sent a copy to the other party with this form?

Have you attached the certificate confirming that the dispute was unresolved through conciliation?

LEGISLATION REFERENCES
  • Labour Relations Act, 1995 Sections 9, 16, 21, 22, 24, 26, 45, 61, 63, 64, 72, 74,86, 89, 94, 134, 191(1), 198 and 198A-C.
  • Employment Equity Act, 1998 Section 10.
  • Basic Conditions of Employment Act, 1997 Sections 41, 69(5), 73A, 80, 84.
  • Skills Development Act, 1998 Section 19.
  • National Minimum Wage Act, 2018 Section 4(8).
Back
WHAT IS THE PURPOSE OF THIS FORM?
If conciliation fails, a party may request that the CCMA resolve the dispute by arbitration.

WHO FILLS IN THIS FORM?
The party requesting the arbitration.

WHERE DOES THIS FORM GO?
The Registrar, Regional Office of the CCMA. This should be the same office, which conducted the conciliation. If an accredited council or agency is to arbitrate the dispute, the request for arbitration must be sent to their offices.If in doubt, contact the CCMA for help.

OTHER INSTITUTIONS
A copy of this form must be served on the other party.
Proof that a copy of this form has been served on the other party must be supplied by attaching any of the following:

  • A copy of a registered slip from the Post Office; or
  • A copy of the signed receipt if hand delivered; or
  • A signed statement confirming service by the person delivering the form; or
  • A copy of a fax or email confirmation slip; or
  • Any other satisfactory proof of service.
The CCMA may be requested to assist with service.

CHECK!
Have you sent a copy of this completed form to the other party?

Have you included proof that you have sent a copy to the other party with this form?

Have you attached the certificate confirming that the dispute was unresolved through conciliation?

LEGISLATION REFERENCES
  • Labour Relations Act, 1995 Sections 9, 16, 21, 22, 24, 26, 45, 61, 63, 64, 72, 74,86, 89, 94, 134, 191(1), 198 and 198A-C.
  • Employment Equity Act, 1998 Section 10.
  • Basic Conditions of Employment Act, 1997 Sections 41, 69(5), 73A, 80, 84.
  • Skills Development Act, 1998 Section 19.
  • National Minimum Wage Act, 2018 Section 4(8).