Steve Rupert Mediations - Certified Mediators
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Scheduling Form B - NEED ME TO SCHEDULE MEDIATION
 
PLEASE USE THIS FORM IF: You need me to contact other parties and schedule for you.
 
PLEASE NOTE: A MEDIATION IS NOT OFFICIALLY SCHEDULED UNTIL YOU HAVE BEEN CONTACTED FOR CONFIRMATION.  EVERY EFFORT WILL BE MADE TO CONTACT YOU WITHIN ONE BUSINESS DAY.
 
Please supply the following information:
THE CASE IS: PRE-SUIT  IN LITIGATION
YOU ARE THE: PLAINTIFF  DEFENSE  ADJUSTER
   
PLAINTIFF  
PLAINTIFF’S NAME(S):
PLAINTIFF’S ATTORNEY:
CONTACT PERSON:
PHONE:
EMAIL:
ADDITIONAL PLAINTIFFS/ ATTORNEYS:
   
DEFENDANTS  
DEFENDANTS NAME(S):
DEFENDANT’S ATTORNEY:
ADJUSTER: (IF PRE-SUIT)
CLAIM NUMBER: (IF PRE-SUIT)
CONTACT PERSON:
PHONE:
EMAIL:
ADDITIONAL DEFENDANTS/ATTORNEYS/ADJUSTERS:
   
PROSPECTIVE TIMES/DATES:

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