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Request for Shelterwell Pre-Filing Mediation
Your Contact Information
Please check the box that describes you:
Landlord
Tenant
Service Provider
Your Name
First Name
Last Name
Email
example@example.com
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Other Party's Information
If you are the landlord, list your tenant's information below. If you are the tenant, list your landlord's information.
Other Party's Name
First Name
Last Name
Other Party's Email
example@example.com
Other Party's Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other Party's Phone Number
Please enter a valid phone number.
County where rented residence is located
Reason for Mediation
Please check the main issue of disagreement
Non-payment of rent
Lease Violation(s) or Breaking of Lease
Repair Issues
Other
Pre-filing mediation is scheduled on weekdays between the hours of 9:00-3:30 on Mondays-Thursdays and between 9:00 and 11:00 on Fridays. Please select 2-3 times that best work with your availability.
Monday Morning
Monday Afternoon
Tuesday Morning
Tuesday Afternoon
Wednesday Morning
Wednesday Afternoon
Thursday Morning
Thursday Afternoon
Friday Morning
Is there anything else we should know before reaching out to the other party to start the mediation process?
Submit
Should be Empty: