getting started

Please complete this form in full as this will save time at your initial information meeting.

who can complete this form?

This form can be completed by you alone, you and your ex-partner together, a solicitor or any other agency. When completing the form please ensure you:

• Give complete addresses for both participants.
• Give contact telephone numbers for both participants.
• Complete solicitors’ details (with contact telephone numbers and references) for both participants where legally represented.

please note

Information given to us on this form and at the initial assessment meeting is confidential and will not be shared with any other party to the mediation unless you give us permission. In particular your contact details will not be disclosed. However, if matters proceed to full mediation we will ask if this completed form can be shared.