NOCO Mediation Intake Form
an attorney or paralegal scheduling mediation.
not represented by an attorney and would like to schedule a free virtual 30-minute mediation consultation.
Your first name
Your last name
Case Number, if applicable
Client's first and last name
Client's prior names
Other party's first and last name
Other party's prior names
Other party's email
Other party's phone
Other Party's attorney name, email, and phone
List any past or current affiliation with Erin Redmond Claeys or the NOCO Mediation center
What issues are you looking to mediate?
Preferred date for initial consultation
Preferred mediation date
Preferred mediation time
Desired second mediation date
Desired second mediation time
Desired third mediation date
Desired third mediation time
Have these dates been cleared with the other party?
Preferred mediation location
Physical limitations of either party