Scheduling Form

Please fill out and forward the following form. You will be immediately contacted about the details concerning the parties, and sent the appropriate forms, a confidentiality agreeement and instruction materials.

Name
Company/Firm
Street Address
City/State
Zip Code
Telephone
Fax
E-Mail
Style of Case/ Court/
Cause Number - if any

Party to a Dispute
Represent Plaintiff
Represent Defendant
Represent Other


Pre-Litigation Mediation - No suit has been filed
Court Ordered Mediation
Mediation Agreed to After Suit is Filed

Length of Requested Session:

Brief Description/Comments:

Date(s) you wish to hold your ADR, in order by preference:

 
 

Home | Types Of Alternative Dispute Resolution | Pre-Mediation Preparation | About The Mediator
Mediation Facilities | Check Calendar | Information Form | Mediation Fees
Recent Papers and Appearances | Contact Us

Copyright © 2007, Donald G Henslee. All rights reserved.