Dispute Resolution Center Mediation Request Form. Request a mediation from the Bexar County Dispute Resolution Center.The Initial Certificate(s) shall be in the form set forth in paragraph B of this. This investment in capital assets includes land, building and improvements, furniture, office equipment, computers, and peripherals. Bexar County Certificate of Trust Form. Fill in the blank form formatted to comply with all recording and content requirements. 1. Fill out the Mediation Request Form completely. The first step in filing a grievance is to complete a grievance form through our online submission system. (1) Resolution of the Board of Managers of Bexar County Hospital District. Medicare hospital inpatient prospective payment systems for operating costs and capitalrelated costs to implement.