Solicitors referral rorm

Solicitors referral form

This is the most straightworward way to refer clients to Family Mediation. If you wish to refer a dispute to Civil/Commercial Mediation or to Workplace Mediation, it is better to call our main office on 0330 320 7600 and one of the mediators will call you directly to discuss further.

Please fill in the form below. Once completed simply press send and a copy of the form will be emailed back to you for your records. Alternatively follow the instructions in the right hand box for other methods of sending the form to us.

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Your Client's Details


Your Details


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Details of Other Party


Other Party's Solicitor's Details, if represented

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Please indicate the following

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Submit referal form

Read our privacy policy

We will send a copy of the completed form to you via email for your records

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