CAI Arizona Mediation Form

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Open a mediation case with CAI and the Leadership Centre

Enter Your Name, Address, and How You May Be Reached

The information that you provide on this form is sent directly to our office and is confidential--it will not be shared with any outside party. Please note that at this time, CAI AZ do not mediate divorce or child custody cases, nor do we accept cases in which there may be an imminent threat of harm or violence to any party involved.

Email *

Community/Organization *

First Name *

Last Name *

Street Address *

City, State, Zip *

Daytime Phone Number *

Email *

Contact Information of each party that you would like to invite to mediation: *

Briefly describe the conflict you have been experiencing: *

Are you currently a member of CAI? *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

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