Dispute Resolution Issues (Please check all that apply.) *
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Please give additional details about the nature and background of the dispute. Describe any agreements or referrals.
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If non-payment of rent is an issue in this case, would you accept rental assistance from an outside service provider to help the tenant pay back the balance owed?
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Has there already been a court filing with the magistrate for this dispute? *
Is this a unit subsidized through Section 8, a project-based voucher, or other types of public assistance? If your answer is YES, please specify.
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MEDIATION LOGISTICS
Mediation will be arranged for a single, three-hour session after a preliminary phone call.
Do you have the INTERNET ACCESS, WEBCAM capability, and PRIVACY necessary to participate in a mediation by videoconference? *
Do you have any physical, language, or other accessibility needs to be able to participate in mediation?
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DEMOGRAPHIC INFORMATION
Gender *
Age Range *
Ethnicity *
Race (Check all that apply) *
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How did you hear about us?
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