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

Mediations Are Subject To The Following Terms

Mediator Fees: Mediator services are billed at an hourly rate of $150 per party for all services rendered. The minimum fee for mediation services is three hours.

Payment: Payment is due and shall be payable at the end of each meeting. A valid credit card shall be kept on file to secure payment. Fees are payable via check, cash, or credit card.

Cancellation: You will be charged $450 if the meeting is cancelled (or rescheduled) less than three business days before the scheduled mediation date. Cancellation fees shall be paid by the party (or parties) requesting the change.

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.

We will confirm your request via email or phone

Thank you!  




(813) 966-4503