Florida Certified Circuit Civil Court Mediator, Attorney at Law   

	Scheduling Form Once all parties have agreed to a particular date/time, just complete this form and click to send it. Please Note: A mediation is not officially scheduled on our calendars until we have contacted you to confirm.  We will make every effort to do so by 9:00 am the next business day. REQUIRED INFORMATION Preferred  Date/Time Subject: Subject Enter the available date all parties have agreed to use: First & Last Name ((mm/dd/yyyy) Enter the preferred start time: Organization (9:30 am or 1:30pm)   Location of Mediation Please provide the name and physical address where the mediation will be held.  (Please review our Fees & Policies) Phone       Who Are You?   Email Your Name   Email Organization or Firm Email Work Phone/Ext. Email Fax Email Email   Case Site Email Please indicate if Pre-Suit Email Email Case No:       This next section is to provide information about all parties to this matter.  There is space for 2 plaintiff parties and 3 defendant parties and an area to provide information if there are more parties involved. Party Information     For the Plaintiff Party #1, please provide the following information: Attorney or Representative (Who will Appear at Mediation) Email Work Phone/Ext. Email Fax Email Their Client's Name     For the Plaintiff Party #2, please provide the following information: Attorney or Representative (Who will Appear at Mediation) Email Work Phone/Ext. Email Fax Email Their Client's Name     For the Defendant#1, please provide the following information: Attorney or Representative (Who will Appear at Mediation) Email Work Phone/Ext. Email Fax Email Their Client's Name     For the Defendant#2, please provide the following information: Attorney or Representative (Who will Appear at Mediation) Email Work Phone/Ext. Email Fax Email Their Client's Name     For the Defendant#3, please provide the following information: Attorney or Representative (Who will Appear at Mediation) Email Work Phone/Ext. Email Fax Email Their Client's Name       Are there any other parties involved?   (Yes or No)       If yes, please provide all their contact information as you did above. Email     CLICK SUBMIT REQUEST Button We will confirm by email, a fax Confirmation and Engagement Letter.  Please Fax us the Notice of Mediation or another pleading with the case style on it to: (727) 368-5562
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