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To participate in the New York State Wheelchair Lemon Law Arbitration Program, you must complete the attached form. Be as accurate and complete as possible.To speak with our experts, call us or fill in the form below. File a new case 800-778-7879. (2) Customized wheelchair request for arbitration forms shall be reviewed for completeness and compliance with 201 CMR 19.02. Complete an online Claim Information Form;. â–· submit a Statement of Claim, signed Submission. Form of Agreement: (1) Binding arbitration is a complete dispute resolution mechanism which has few, if any, rights of appeal. (2) At the time of purchase or lease of a wheelchair, the manufacturer must provide. Complete an online Claim Information Form;.