This legal template includes 8 fields. Request voluntary mediation services to resolve a civil dispute outside of court. Free to customize and use on ZenBuild.
Requesting Party Full Name (text, required)
Requesting Party Email (email, required)
Other Party Full Name or Company (text, required)
Type of Dispute (dropdown selection, required) — options: Business / Contract, Landlord / Tenant, Family / Divorce, Employment, Neighbor / Property, Other
Summary of the Dispute (long text, required)
Desired Outcome (long text, required)
Has the other party agreed to mediate? (multiple choice, required) — options: Yes, they have agreed, Not yet — we will contact them, Unknown
Preferred Session Format (multiple choice, required) — options: In-Person, Virtual / Online, No preference
