
Adam Frankel
General Counsel · Technology & AI
15+ years as General Counsel to technology, cloud & AI companies
This archetype pleads material facts only. It contains no legal argument and no evidence; submissions and evidence follow separately according to the Tribunal's procedural timetable. For a document containing full argument and evidence inline, see the Memorial archetype of this template.
[Case No.: [Case number, if allocated]]
IN THE MATTER OF AN ARBITRATION UNDER THE UNCITRAL ARBITRATION RULES (2021)
BETWEEN
[Claimant's name] of
[Claimant's address]
("Claimant")
and
[Respondent's name] of
[Respondent's address]
("Respondent")
Submitted on behalf of the Claimant by: [Representative's title, e.g. Counsel for the Claimant] [Name of representative]
Date: [Date of this Statement of Claim]
[Include the following Election Notice only if the Claimant elects, pursuant to Art. 20(1) of the UNCITRAL Arbitration Rules (2021), to treat its Notice of Arbitration as its Statement of Claim: "Pursuant to Art. 20(1) of the UNCITRAL Arbitration Rules (2021), the Claimant hereby elects to treat its Notice of Arbitration dated [date] as its Statement of Claim, supplemented as set out below."]
This Statement of Claim is submitted pursuant to Art. 20 of the UNCITRAL Arbitration Rules (2021) and pleads material facts only.
This Statement of Claim is structured as follows: (I) the Parties; (II) Jurisdiction; (III) Material Facts; (IV) Breaches Alleged; (V) Loss and Damage; (VI) Relief Sought.
The Claimant is [Claimant's name], [brief description].
The Respondent is [Respondent's name], [brief description].
The Tribunal has jurisdiction pursuant to the arbitration agreement at [clause reference], seated at [seat of arbitration].
[Fact 1.]
[Fact 2.]
[Fact 3.]
State facts only, cross-referenced to documents by number where relevant. Argument and analysis are reserved for a later stage of the proceedings.
[Bare characterisation of the cause of action — e.g. "The Respondent breached clause X of the Agreement by [conduct]." No authorities, no argument.]
The Claimant has suffered loss and damage in the amount of [quantum amount].
The Claimant claims interest at [interest rate] from [interest start date].
The Claimant seeks: (a) payment of [quantum amount]; (b) interest as pleaded above; (c) costs; and (d) further or other relief.
The Claimant reserves the right to amend or supplement this Statement of Claim pursuant to Art. 22, and to plead further facts, legal grounds, and evidence at the appropriate stage of the proceedings.
The exhibit schedule is minimal or deferred to the memorial/evidentiary stage under this pleading archetype. This deferral does not extend to Art. 20(3), which requires that a copy of the contract or other instrument out of which the dispute arises, and of the arbitration agreement, be annexed to this Statement of Claim regardless of archetype.
Respectfully submitted,
[Representative's title]
[Name of representative]
On behalf of the Claimant
Date: [Date of this Statement of Claim]
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This is a procedural filing document for international or commercial arbitration. It is not a Memorial, as it omits legal authorities and detailed evidence, focusing instead on the bare characterization of the cause of action and quantum. It contains specific sections for the arbitration seat, quantum amounts, and the reservation of rights under Article 22.
Use this template when you need to formally submit a Statement of Claim that focuses on material facts to meet procedural deadlines under the UNCITRAL Rules. Use the Memorial archetype instead if you are required to submit full legal arguments and supporting evidence simultaneously.
| Clause | Name | What it does |
|---|---|---|
| 1 | Introduction | Specifies that the submission follows Art. 20 of the UNCITRAL Arbitration Rules (2021) and may serve as an election notice for the Notice of Arbitration. |
| 3 | Jurisdiction | Identifies the specific arbitration agreement clause and the seat of arbitration to establish the Tribunal's authority. |
| 5 | Loss and Damage | States the specific quantum amount claimed and the interest rate applicable from a defined start date. |
| 7 | Relief Sought | Lists the remedies requested, including payment of quantum, interest, costs, and further relief. |
| 8 | Reservations | Expressly reserves the Claimant's right to amend or supplement the claim under Art. 22 as the proceedings progress. |
| 9 | Annexure Schedule | Requires the attachment of the contract and the arbitration agreement as mandated by Art. 20(3) of the Rules. |
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A facts-only statement of claim under Art. 20 of the UNCITRAL Arbitration Rules (2021), pleading the Claimant's material facts and bare cause of action without legal argument or evidentiary discussion — submissions and evidence are reserved for a later stage on the tribunal's timetable. Retains the mandatory Art. 20(3) obligation to annex the contract and arbitration agreement even though the fuller exhibit schedule is deferred. Includes the same optional election notice and India-seat overlay as the Memorial version. Use on a bifurcated or fast-track timetable where an early, narrow claim document is required.
This document comes from OLL's library of vetted legal templates.