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Monmouthshire Mediation Practice Referral Form
Your Details
Full name
Address
Telephone
Email
Name of Representatives(if any)
Full name
Address
Telephone
Email
Other party's details where know
Full Name
Address
Telephone
Email
Name of Representatives(if any)
Full name
Address
Telephone
Email
Details of the dispute - please complete all of the boxes below
Brief description of dispute (including value, and location where it is a property dispute)
Have proceedings been issued; if so, when and by which party?
What are the costs incurred by you to date (including legal and court costs) in the dispute?
What are the estimated costs of pursuing the dispute to trial / tribunal / arbitration (if relevant)?
Other information
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