Mediation solicitor referral formYour Client's DetailsName*Email*Phone number*Referring Solicitor's DetailsName*Organisation*Email*Phone numberIs your client happy for the other party to be contacted concerning mediation?* Yes NoDoes your client wish to attend a separate Assessment Meeting with a recognised mediator before the other other party is contacted?* Yes NoOther Party's DetailsName*Email*Phone numberOther Party's Solicitor's Details - If ApplicableNameOrganisationEmailPhone numberMarital Status Prior to Separation* Married Co-habiting Civil PartnershipOther Concerns* Domestic Abuse Child Welfare Issues Not ApplicableMediation Service Required* Child/Children Only Finances Only Child/Children & FinancesAdditional Information (if required)Untitled* Tick to accept our privacy notice Explore our branches Nelsons DerbyTel: 01332 372372 View Office Nelsons Solicitors in LeicesterTel: 0116 222 6666 View Office Nelsons Solicitors NottinghamTel: 0115 958 6262 View Office
