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Type of Case:  
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If so, what Judge and County?  
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How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
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First Name: *
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Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
How did you hear about us?   Court or ADR Clerk
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First Name: *
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Company:  
Title:  
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Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
Who owes money?  
The money in question is  
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* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
Which one of you is the landlord?  
When did the lease start?  
This is a  
Is the tenant still on the property?  
What is the issue?  
Is there a written lease  
If there is a written lease, how many tenants are listed?  
How did you hear about us?   Court or ADR Clerk
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Comments:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
Are both parties named here the legal property owners?  
This dispute is  
How did you hear about us?   Court or ADR Clerk
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Comments:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City of Residence:  
Opposing Party's County of Residence:  
Opposing Party's Attorney:  
This case is a  
Do either of you own real estate?  
Do either of you have pensions or retirement accounts?  
Do either of you owe credit card debt?  
Do either of you owe medical debt?  
Are either one of you requesting Spousal Support / Alimony from the other?  
Do you live with the opposing party?  
When did you get married?  
What is your school district (if children are involved)?  
What is the opposing party's school district (if children are involved)?  
How did you hear about us?   Court or ADR Clerk
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Comments:  
* Field is required. Enter NA if something is not applicable.
Type of Case:  
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
How many children are involved?  
What is the age of the oldest child?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City of Residence:  
Opposing Party's County of Residence:  
Opposing Party's Attorney:  
What is your school district?  
What is the opposing party's school district?  
Is there a previous court order regarding these children?  
How did you hear about us?   Court or ADR Clerk
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Comments:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
This is a  
How did you hear about us?   Court or ADR Clerk
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Comments:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
Name of child involved:  
Age and Grade of the child involved:  
I am requesting a third party neutral to  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
How did you hear about us?   Court or ADR Clerk
AT&T Directories
Yellowbook Directories
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Comments:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
How many parties are involved in this issue?  
Main Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
How did you hear about us?   Court or ADR Clerk
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Please describe your issue here:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
How did you hear about us?   Court or ADR Clerk
AT&T Directories
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Please describe the issue contested:  
Comments:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
Who is the adult needing the guardianship?  
How are you related to the adult?  
Does the adult have a social worker?  
How did you hear about us?   Court or ADR Clerk
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Please describe the issue being contested:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
How did you hear about us?   Court or ADR Clerk
AT&T Directories
Yellowbook Directories
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Please describe the contested issue:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
Who is the child's Lawyer Guardian ad Litem?  
Does the child also have a CASA?  
Who is the child's caseworker?  
What is the child's home school district?  
Are there siblings involved in this case (if so, how many)?  
Is the child currently in out-of-home placement?  
How did you hear about us?   Court or ADR Clerk
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Please describe the contested issue:  
* Field is required. Enter NA if something is not applicable.
First Name: *
Last Name: *
Company:  
Title:  
Email: *
Cell Phone:  
Work Phone:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
County:  
Preferred Method of Contact:  
How long have you resided in Michigan?  
How long have you resided in your county?  
Is there a court case already filed by someone in your dispute?  
If so, what Judge and County?  
Has mediation been ordered by the Judge in your case?  
Is there an upcoming Court date already scheduled?  
Do you have an attorney representing you in this dispute?  
Your Attorney:  
Your Attorney's phone number:  
Your Attorney's email address:  
How agreeable is the case?  
Mediation Services desired:  
Opposing Party's Name:  
Opposing Party's City:  
Opposing Party's County:  
Opposing Party's Attorney:  
How did you hear about us?   Court or ADR Clerk
AT&T Directories
Yellowbook Directories
Great Lakes Directories
Online Phonebook Search
Google Search
Bing/ Yahoo/ other online search
Facebook
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Friend, Co-worker, etc.
Restaurant Placemat
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Other
Comments:  
* Field is required. Enter NA if something is not applicable.
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