Schedule A Mediation

Fill out the information below and click the SUBMIT button at the bottom of this form. Your information is confidential and will not be shared without your permission.

Here’s what happens next:

  1. A Case Manager will call to discuss our services and see if they are a good fit for your situation.
  2. Sometimes more information is needed, so we may have some questions.
  3. Once we determine the right service for your situation, we will discuss a plan for next steps.

Schedule a Mediation

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OPTIONAL: The DRC collects demographic statistics for our funders. It would be helpful if you would be willing to provide following demographic information.

Please fill out the information you know about the other party(s) in your dispute. We will only contact the other party AFTER a phone conversation with you.

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