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 includes a reduced fee application, if you need to mediate issues not related to parenting from two homes but do not 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 person you would like to mediate with and anyone else you would like us to provide information to;
- Income verification that you can upload for each adult you are claiming in your household size; and,
- Your debit or credit to process your processing fee $39