Get Canada Mediate393 Family Mediation Intake Form

The Canada Mediate393 Family Mediation Intake Form is a crucial document designed to assist in preparing for your initial meeting with a mediator. This guide will provide comprehensive, step-by-step instructions to help you complete the form online effectively.

Follow the steps to successfully fill out the Canada Mediate393 Family Mediation Intake Form online.

1. Press the ‘Get Form’ button to access the form and open it in your browser or document editor.
2. Begin by entering the date in the designated field, follow this with the name of the person who referred you, if applicable.
3. Fill in your full name, date of birth, and age in the respective fields.
4. Provide your current address, telephone number, and a cell or alternate contact number.
5. Enter a confidential email address and indicate whether it is acceptable to email you at that address by selecting 'Yes' or 'No'.
6. List your employer, job title, and annual income, along with your work telephone number. Indicate if it is okay to call you at work.
7. If you have legal representation, provide your lawyer's name, their telephone number, and email.
8. Input information about the other party involved, including their name, age, employer, job details, and their lawyer’s information.
9. Indicate if English is your first language and specify the language you are most comfortable speaking.
10. State whether you have any interest in reconciliation with the other party. Additionally, provide information regarding any new relationships.
11. Indicate if there are any legal restrictions affecting communication with the other party, such as restraining orders.
12. Fill in the dates reflecting when you began living together, if married, and the date of marriage.
13. Provide the date the relationship ended, and specify who made that decision.
14. Share one positive aspect about the other party, followed by a brief history of your relationship.
15. If applicable, detail information about children involved, including their names, ages, dates of birth, and current living arrangements.
16. List any issues you wish to discuss in mediation, along with your reasons for their importance.
17. Respond to questions regarding legal actions taken, any substance use issues, mental health concerns, and mediation preferences.
18. Indicate if you have any disabilities and specify accommodations necessary for the mediation process.
19. Review all provided information for accuracy before submitting the form.
20. Finally, save your changes, download, print, or share the completed form as instructed.

Complete the Canada Mediate393 Family Mediation Intake Form online to facilitate effective mediation.