The Laumann Firm, PLLC
Mediation Services

Schedule a Mediation

Mediation Request Contact Form
Case Name:
Your Name:
Your Address:
Your Telephone:
Other Parties
and Representatives


Name:
Represented By:
Representatives Address:
Representatives Telephone:
Name:
Represented By:
Representative's Address:
Representative's Telephone:
 Case Status
 
Case Name:
Is this case in litigation? 
Yes
No
Trial or Arbitration Date:
Fees and Expenses to be paid:
50/50 Split
By Referring Party
Other - please specify below
Other:
 Date requested for mediation:  
 Mediation start time
9:30
1:30
 Mediation Location
Plaintiff Counsel's Office
Defense Counsel's Office
Other - please specify below
 Other:  
 Special Instructions:  

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