Testimonials

I thought you did an excellent job and I am sending a memo to each of our offices here in Maricopa County for our personnel to recommend you as a mediator, if that becomes necessary.

John K. Graham, Regional Counsel, First American Title Insurance Company

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Request to Initiate Mediation
Dispute Resolution System – Transmittal Form

To E-Mail press the "submit"  button at the bottom of this page.
To fax or mail, print this form.
 
Date:

1. PARTY REQUESTING MEDIATION
Please provide your:
Name:
Phone #:
Fax:
Address1:
Address2:
Buyer Seller Broker Sales Agent Builder/contractor
Other

If you have legal or other counsel in this matter,provide:
Name:
Telephone:
Address1:
Address2:

2. OTHER PARTY(S) TO BE INCLUDED IN MEDIATION
(Include any party whose attendance at the mediation would be necessary or
helpful in resolving the dispute)
Name:
Phone #:
Fax:
Address:

3. BRIEF DESCRIPTION OF CLAIM:

4. AMOUNT OF MONEY INVOLVED:$

5. COURT PROCEEDINGS
The standard form Arizona Association of REALTORS® Residential Purchase
Contract,at lines 365-374, requires mediation before resort to most court
proceedings. However,if any formal court proceedings have been filed in
this matter, provide:
Name:
Court case #:
Name, address and telephone number of legal counsel, if any:

6. DISPUTE RESOLUTION SYSTEM LIAISON
The original of this form, along with a non-refundable $260 deposit, should
be mailed, faxed or submitted to:

Out-of-Court Solutions,
4545 East Shea Boulevard, Suite 205
Phoenix, AZ 85028
Tel: (602) 404 -1500 Fax: (602) 404-1515

A copy of this form should be mailed to:
Dispute Resolution System Liaison,
Arizona Association of REALTORS®,
255 E. Osborn Rd., Suite 200,
Phoenix, AZ85012.

We will process your Request upon receipt of the $260 deposit, which
will be applied to your first one-half hour of mediation
Credit Card #:"
   Accepted only
Exp. Date
Billing Address: