State Court Scheduling
Please complete this form to assist us in scheduling mediation of your State Court case.
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Email *
Name of person completing this form: *
Civil Action # / Case #: *
Case name (Example:  Jane Doe vs John Doe): *
I am / I am representing: *
My email address is: *
My telephone number is: *
If you're representing a party on this case, provide the party's email address (will be used to email the Mediation Guidelines prior to mediation):
If you're representing a party on this case, provide the party's telephone number (will be used if the party needs technical assistance accessing the virtual mediation):
What is the status of your case? *
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