Request for Virtual Domestic Mediation
This form is for attorneys ONLY. Basic information to schedule your Family Law case for a virtual mediation.
Name of person submitting request
Best contact number of person submitting request in case we have scheduling questions
Civil Action Number or Pre-filing (PF)
Who is requesting mediation, Plaintiff or Defendant or agreed to by both?
both have agreed
Do you have a mediator preference?
No, any mediator trained to virtually mediate
Either Trish Murphy or Lee Robbins
Trish Murphy, Esq.
Type of Case
Divorce with kids
Divorce with no kids
Dates both parties are available for mediation: Please provide up to 3 dates.
Virtual Mediation will start at 10:00 unless otherwise requested. If you have a preferred start time,
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This form was created inside of Mediation Center of the Coastal Empire.