REQUEST A MEDIATION DATE | Melanie E. Grimes, Mediator--Dallas, Texas Area

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MEDIATION DATE REQUEST & CASE INFORMATION

Date Preferred

Other Possible Dates

Session Requested
If half-day requested -- any preference?
MorningAfternoon
Has the date been confirmed by all parties?
YesNo
Complete Style of Case or Case Name
Cause No. (if any)
Court (if any)
Brief Description of Matter

YOUR CONTACT INFORMATION

Your Name *
Your Email *
Attorney's Name (if not above)
Attorney's Email (if not above)
Mailing Address
Telephone
Fax
Your Client (if applicable)
PetitionerRespondentPlaintiffDefendantIntervenor

STATUS OF CASE

In Litigation?
YesNo
Key Date
Payment of Fees
50/50 SplitOther
Comments

Verification

Please enter any two digits *Example: 12
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