To participate in the New York State New Car Lemon Law

To participate in the New York State New Car Lemon Law
Arbitration Program, you must complete the attached form. Be as accurate and complete as possible.
You may send this form electronically or by regular mail. Please attach copies of all relevant
documents (including your purchase or lease agreement, all service or work orders relating to the
problem for which you seek this arbitration, and any correspondence between you and the
manufacturer or its authorized dealer relating to such problem). DO NOT SEND ORIGINAL
. Sign and return the completed form, together with your documents, to:

New York State Attorney General's Office
120 Broadway --3rd floor
New York, NY 10271
Or Email to:

The Attorney General's Office will review your form and advise you whether your claim is accepted
in the arbitration program. If the form is accepted, you will be notified by the Attorney General's
Office which will then forward your form and documents to the New York State Dispute
Resolution Association (NYSDRA)
, the Program Administrator. NYSDRA will then notify you to
send it the required $250 filing fee. Upon receipt of the filing fee, NYSDRA will begin processing
your claim. If your form is rejected by the Attorney General=s Office, it will be returned to you with
a statement indicating the reason for its rejection.