Getting Started – Individual

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MEDIATION INTAKE FORM FOR AN INDIVIDUAL

To start the mediation process a completed Mediation Intake Form must be submitted. We have two types of intake forms.  If you are an individual involved in a dispute with another individual proceed in completing this form.  If the dispute involves a business, you must complete the Mediation Intake Form For A Business. Please ensure you are completing the correct form.

1 Contact Info
2 Mediation Type
3 Communications
  • date of birth