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Click ‘Get Form’ to open the mediation intake form in the editor.
Begin by selecting the type of dispute from the options provided, such as Landlord/Tenant or Neighbor. This helps categorize your case effectively.
Fill in your contact information, including your name, address, and phone numbers. Ensure that you provide an email address that you check regularly for effective communication.
Provide the other party’s contact information in the designated fields. Accurate details are crucial for successful mediation.
Indicate whether you have contacted any other agencies regarding this matter and specify which ones if applicable.
Answer whether this is a claim for money and provide details about the amount if applicable. Attach any relevant correspondence as needed.
Briefly explain why you believe the other party owes you anything or describe the nature of your dispute in clear terms.
Outline any attempts you've made to resolve the issue prior to this mediation request.
State your ideal outcome clearly to guide the mediation process effectively.

Start filling out your mediation intake form online today for free and streamline your path to resolution!

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Versions	Form popularity	Fillable & printable
2014	4.7 Satisfied (39 Votes)
2011	4.8 Satisfied (44 Votes)
2009	4 Satisfied (49 Votes)

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What to bring during mediation?

If you have to consult someone, please ensure that you are able to contact the person via telephone during the mediation session. Please bring along all relevant documents relating to the dispute. These may include letters, e-mail exchanges, invoices, contractual agreements, expert reports, and photographs.

What are the 5 steps in mediation?

A crucial step in the mediation process is the intake interview, which allows mediators to: Determine whether mediation is a good option for the presenting couple. Get to know their clients. Understand the issues that need to be managed during mediation.

What information is needed for mediation?

Before you go to mediation If youre trying to docHub an agreement about money or property, youll need to fill out a financial disclosure form when you go to mediation. Youll have to include all your financial information, for example: your income - for example, from work or benefits.

What documents to bring to mediation?

8 Essential Items to Bring to Divorce Mediation Personal Identification. Financial Documents. Property and Asset Documentation. Marital Documents. Parenting and Child-Related Documents. Health and Medical Records. Legal Documents. Mediation Preparation Notes.

Do I need to bring evidence to mediation?

Every case has a few, critical documents that tell your story. I call them hot docs. Bring your hot docs with you to mediation, to show the mediator and also to remind the other side of the evidence that you will be presenting to the jury.