Mediation Instruction Form

If you would like to learn more about the mediation services we offer, please contact Shaun Jardine on 01295 270999 for a discussion without obligation or charge.
     
Title  
First Name  
Surname  
Address  
Phone  
Email
Your Solicitors Details (if a solicitor has been instructed)  
 

Your Opponents Details
Name  
Address  
Phone  
Your Opponent's solicitor details (if known)  
 
Have you discussed Mediation with your Opponent?  
Has your Opponent consented to Brethertons acting as Mediators?  
Would you like us to contact your Opponent to see whether they are prepared to consider Mediation?  
Have Court proceedings been issued?  
If yes, at what stage are they?  
Are there any time limits in which the Mediation must be carried out?  
Briefly give an indication of what the dispute is about: