Competent Attorneys in Okaloosa County

• First Name
  Please enter your first name.
• Last Name
  Please enter your last name.
• Attorney's Name
  Please enter your attorneys name.
• Firm/Orginization
  Please enter your Firmor/Orginization name.
• Complete Address
  Please enter your complete address.
• Email Address
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• Phone
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• Fax
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• Mediation Details

  How quickly do you want to mediate?

  Mediation

  Within 30 days

  31-60 Days

  60-90 Days

  More than 90 days

• Message

  Please provide at least 3 and up to 10 preffered mediation dates, we will do our bestr to accomodate your preferences.

• Length

  Half-day morning session

  Half-day afternoon session

  Full Day

• Case Information

  Identify cour.administrative body and case number. If this is a pre-suit mediation, indicate by wrriting "pre-suit."

• Case info

• Plaintiff's Attorneys: For pro se plaintiffs, please complete all information and write "pro se" in place of firm name)

  Name of Attorney
• Firm
• Firm
• Phone
  This isn't a valid phone number.
• Email Address
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• Additional Info

  Please provide any additional notes for the mediator, such as preffered start time, any special accomodations required, etc.
• Disclaimer

  I understand that the use of this form does not establish an attorney-client relationship

  Must be checked.

You will recieve a confirmation email within 24 business hours. If you do not please call 850-683-9945 and ask to speak with Joanna Drake. Thank you.