The Claimant is the person that requests mediation. Provide the contact information for the primary Claimant under "Claimant #1". Enter information for any additional Claimant by clicking "Additional Claimant."
The Respondent is the person or company asked to participate in mediation. Enter the information for the Respondent under "Respondent #1". Enter information for any additional Respondent by clicking "Additional Respondent."
Once you submit this form we will process your mediation request and mail notice of the mediation date and time to the Claimant(s) and Respondent(s). Please allow up to two weeks for mailed notice.
Please call 614-645-8611 if you have any questions.