Intake Information Form


Intake Information Form


    Please submit the form below so that we may complete a conflicts check and determine our availability to accommodate your request.


    Please share the name, telephone number, and email address for the preferred point of contact so we may direct our follow-up appropriately.

    Nature of request:
    ArbitratorMediatorReferee/Special MasterConsultant (trials and appeals)

    Please provide the full names of all parties, lawyers and law firms involved in this matter. Please be sure to include email addresses for all lawyers.

    Time estimate for hearing:
    Full DayHalf DayOther (Please Explain)

    Neutral site neededUndecidedVirtual (Zoom) hearing requested