Get Mediation Intake Form

Filling out the Mediation Intake Form online can seem overwhelming, but with clear guidance, you can complete it with ease. This guide will help you navigate each section of the form and provide the information required accurately.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Begin by filling out your first name, middle name (if applicable), and last name. Ensure that all names are spelled correctly, as this information is essential for identification purposes.
3. Enter your street address, city, state, and zip code. If your mailing address is different, be sure to provide that information in the designated section.
4. Input your contact details, including your home phone, cell phone, work phone, and email address. This information is crucial for communication regarding your mediation process.
5. Provide your birthdate and place of birth. Be accurate, as this helps verify your identity.
6. Write down your social security number and driver's license number in the respective fields. This information may be required for legal identification purposes.
7. Fill in your current employer's name and address, including the state. This is important for understanding your employment status during mediation.
8. If applicable, enter the date and place of your marriage, as well as any prior names you have used. This is crucial for establishing your personal history.
9. Indicate if you have children by selecting 'Yes' or 'No.' If yes, list each child's name and their date of birth. Include each child's social security number where asked.
10. Lastly, provide the name of the person or organization that referred you to the office. This might be necessary for context on your case.
11. Once all fields are completed, review the form for accuracy. You can then save changes, download, print, or share the form as needed.

Start completing the Mediation Intake Form online today to ensure your mediation process begins smoothly.