assistance

PO Box 391
Accord, MA 02018-0391
info@navigatingresolutions.com
Phone: 617-633-4716

Please fill out your basic information

Fill out this form to begin the process of resolving your dispute. Fees are negotiated between participants and mediators.

Items with labels in bold dark red are required .

First Name:

Last Name:

Phone

Business Name
(if applicable)

Please fill out the other party's basic information

If you do not wish for the mediator to contact the other party please leave this section blank.

First Name:

Last Name:

Phone

Business Name
(if applicable)

If there is more than one other party involved in this dispute, list additional email addresses of other parties (one per line)

Other Parties Email

Please fill out these dispute details

Nature of the dispute:

When did this dispute begin?

What is the approximate monetary value of the items under dispute?

This dispute is regarding...

What do you and the other party disagree about?

Are there any things you and the other party might agree upon?

What has happened so far in this dispute? (phone calls, emails, etc.)

What do you want to get from this mediation?

Please add anything else you think it would be helpful for a mediator to know:

Navigating Resolutions