Schedule a Mediation Email Address of Requestor* Style of Case*Name of Claimant/Plaintiff and Contact Info*Name of Requestor*Name of Respondent/Defendant and Contact Info*Requested Mediation Dates*Amount of Time Reserved*Full DayHalf Day - MorningHalf Day - AfternoonIs Mediation Court-Ordered*YesNoNumber of Persons AttendingMediation Fee Paid By*Split Equally Between PartiesRespondent OnlyClaimant OnlyThird PartyComments
