Please use the form to commence your family mediation process.

We’ll get back to you as soon as possible to complete the arrangements and book your online mediation.

Questions or problems..? Ask us here

Your Details

First name

Surname

Your Email

Phone

Alternative phone

Address

Respondent Details

First name

Surname

Email

Phone

Alternative phone

Address

Dispute Details

Please give us a brief summary of the dispute

I would prefer to be contacted via

Acceptance

I understand that this form is my application to commence mediation and submitting it initiates the procedure. A mediation request will be sent to the respondent by Family Resolve, and records of all communications will be held by Family Resolve. For more info see our privacy policy.

Thank you for your taking your time to complete this submission. We will be in touch with you soon to discuss the commencement of your Family Mediation.

Privacy notice: The information you give us in this form will be used to evaluate the suitability of a conference. It will not be given to another person or agency unless you give us permission, we are authorised or required by law, or it would be reasonably expected. For more information about privacy, contact info@familyresolve.com.au