Mediation Schedule Request

Your Information

Your Name: * 

Firm or Company:
Contact Phone :*
Contact Email: *

Case Name

Case Type

Our Availability (For the next 90 days)

Choose Date: *

For help with scheduling please call our office manager at (813) 966-4503

Time Requested *


Party 1 Information

Party' Name:  
Attorney' Name:
Phone :

Party 2 Information

Party' Name:   
Attorney' Name:
Phone :  

Please let us know of any special circumstances in scheduling this case

Mediation Conferences Are Subject To The Following Terms

Mediator Fees: Mediation conferences are billed at an hourly rate of $150 per party with a two hour minimum.

Payment: The parties responsible for fees, shall keep a valid credit card on file to secure payment, or shall make an advance payment via check. Fees shall be settled at the end of each meeting and are payable via credit card, cash, or check.

Cancellation: You must notify us within three business days (not counting weekends and holidays) if you need to reschedule or cancel a meeting, or you will be charged a cancellation fee of two hours.

Fees as stated apply unless; court order, agency order, or other negotiated arrangement dictate a different rate. In which case that rate governs, but all other conditions apply. The parties remain responsible for our total fees until paid in full.

Our office manager will call to confirm your request

Thank you!  



(813) 966-4503