Client Information
- Full Name: _______________________________
- Address: _________________________________
- Phone Number: ____________________________
- Email Address: ____________________________
- Preferred Contact Method: __________________
Dispute Information
- Brief Description of the Dispute:
- Parties Involved: ___________________________
- Have you previously attempted mediation or other dispute resolution? (Yes/No) _______
- Are you currently represented by an attorney outside this service? (Yes/No) _______
- Do you have full authority to settle the dispute? (Yes/No) _______
- If no, please explain: ________________________
Payment Agreement
- I acknowledge that I have received and reviewed the Terms and Conditions and agree to the payment terms outlined.
- Signature: _______________________________
- Date: ___________________________________
Download Here! Fill it out and submit to landlordandtenants101@gmail.com
Recent Comments