Mediation Request Form Fields marked with an * are required. Please verify that you have checked the “I'm not a robot” checkbox. Ok Page 1/4 Association Contact Information Association City * Association City * Association County Page 2/4 Personal Contact Information Your Role * Enter required value Board President Other Board Officer Board Member Homeowner First Name * Last Name * Email * Address Line 1 Address Line 2 City Postal Code Will you be represented by a meditation attorney? * Name and firm of the attorney representing you at mediation? Page 3/4 Dispute Information Role of the Opposing Party * Enter required value Board President Other Board Officer Board Member Homeowner First Name Last Name Address Line 1 City Postal Code Email Briefly describe problem or dispute as you see it (may not be how others see it.) * What have you done so far to try and resolve this problem or dispute? * What is/are your desired outcome(s)? What do you want to see happen? * What other information should your mediator know? * Has the other party has consented to the mediation process? * Page 4/4 UNDERSTANDING AND CONSENT TO MEDIATION PROCEDURES * By submitting this form, the undersigned submits the dispute(s) between the above parties to mediation under the Community Association Mediation Program and agrees that the mediation will be governed by and conducted in accordance with CAMP Mediation Procedures. Powered By GrowthZone calendar icon Events Calendar
