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Refer an Online Case

Claimant:

Defendant:

First Name:

First Name:

Company Address:

Company Address:

Phone Number:

Phone Number:


Nature of claim and brief description:

Approximate amount of dispute:

Complexity (low / medium / high):


Claimant's Solicitor / Advisor:

Defendant's Solicitor / Advisor:

First Name:

First Name:

Firm:

Firm:

Address:

Address:

DX:

DX:

Phone Number:

Phone Number:

Fax Number:

Fax Number:

Email:

Email:

Ref:

Ref:

Is this a court referred mediation? Yes:
No:

Have all party(ies) agreed to mediation

Yes:
No:

If the mediation has not been proposed with the other party(ies), is ADR Group to approach them? Yes:
No:
Is it usual for the mediation fee to be split equally between the parties. 

Yes:
No:

Is there an alternative arrangement in this case?

Yes:
No:

Are there any other issues you or your client consider important and which may be relevant to in the choice of mediator?

Yes:
No:

How did you hear about ADR Group?

 
 


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