Call us +1 818 500 7500
Support
*Indicates required field
Firm Name*
Phone Number*
Email*
Representing*
Insurance Company*
Firm or Company Name*
Case Caption*
Court Case Number*
Claim Number*
Requesting* MEDIATIONARBITRATIONMED-ARBMINI TRIALEARLY NEUTRAL EVALUATIONFOCUS GROUPBINDING ARBITRATIONPRIVATE JUDGE OR JUDGE PRO TEMMOCK TRIALCROSS-BORDER DISPUTE PANELGLOBAL PANEL
Have all parties agreed to use Mediators Worldwide?* YesNoNot Certain
Name of neutral selected:* —Please choose an option—Rose NazarianJuan Mauricio Acosta DelgadilloJohn Doe 1John Doe 2John Doe 3Other
Name in case of other*
Please Upload your files*
Max. file size: 20MB (Acceptable file types: pdf, doc, docx, ppt, pptx, jpg, jpeg, gif, png)
5 - 4 =