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Vermilyea Law - Mediation/Arbitration Request
1
Your Name
*
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Enter your name
First Name
Last Name
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2
Your Email Address
*
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Please provide us a valid email address
example@example.com
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3
Your Phone Number
*
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Provide us the best number to reach you
Area Code
Phone Number
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4
Is This An Arbitration or Mediation?
*
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Arbitration
Mediation
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5
Name of Parties
*
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Tell us who is involved in this dispute
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6
Who Are The Attorneys
*
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Please name the attorneys for each party
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7
Number of Days
*
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How many days are you requesting for this mediation or arbitration?
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8
Preferred Dates
*
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Please list specific dates and times that you prefer to book
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