• Enter the following details to start mediation

  • Applicant details

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  • Other Party details

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  • ACCEPTANCE OF MEDIATION

  • I understand that the information provided in this form constitutes my application to start Mediation. By submitting this form, I accept the terms, conditions and costs associated with the mediation process and that the other party will be invited to participate in mediation.

    PRIVACY NOTICE:
    The information provided by you on this form will:

    • be used to evaluate whether your matter is suitable for mediation;
    • NOT be provided to any person or third party unless you expressly permit us to do so in writing or as required by law.

    (Please refer to the privacy policy for further information).

    To accept, please click on the check-box below and insert your name.

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