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Online Mediation Information Form

Ok, we need some basic information from you.

For your protection: The following information is a mediation consultation as defined by California Evidence Code section 1115(c). As such, it is deemed confidential under California Evidence Code section 1119.

Name:*
E-mail:
Lawsuit Filed*
The fight is about:*
How many people are involved?
Is everyone willing to mediate?*
Word Verification:

No attorney-client relationship is created by the submission of this form. In the event a mediation is scheduled, there shall be no attorney-client relationship between the mediator and any or all of the parties. The mediation shall be subject to the terms of the Agreement to Mediation.

All fees are pre-paid and non-refundable.