This form does not include all of the information needed to open a parenting plan case. If you need to mediate issues related to parenting from two homes, please complete this form instead.
This form does not allow for application for reduced fees. If you need to mediate issues not related to parenting from two homes but intend to apply for reduced fees, please complete this form instead.
Please allow 15-20 minutes to fill out this form. Before you get started, make sure you have:
- Contact information for the other person you would like to mediate with and anyone else you would like us to provide information to;
- Your debit or credit card to process the fees that allow us to schedule your individual session ($139.00) or the fees required to schedule your individual and regular mediation sessions ($439).