MDR Associates - The Conflict Resolution Professionals

SETTING UP MEDIATION

Tel (613) 230-8671

If you have preferred dates, please provide us with them, or alternatively, we can set up a conference call. Please click here to view Richard's calendar to determine his personal availability for services.

Please, complete and return the following form prior to your 1st mediation session. You can also request services or send us your comments/questions online by filling out and submitting the form below.

1. My Information
Please give your full legal name and current address.

First Name (Required)	Last Name (R)

Street Address

City (R)	Province (R) Zip

Phone Number (R)	Email (R)

2. My Lawyer's Information
Please give your lawyer's contact information.

First Name (Required)	Last Name (R)

Street Address

City (R)	Province (R) Zip

Phone Number (R)	Email (R)

3. Other Party's Information
Please give the other party's full name and contact information.

First Name (R)	Last Name (R)

Street Address

City	Province Zip

Phone Number (R)	Email

4. Additional Information
In order to assist you, please give us some information about the dispute.

Briefly describe your dispute:

Type of Dispute: