Marshall & Galpin Solicitors
Send your Enquiry Send for a Quote HIPs Search
Family and Children
 
Personal Advice
 
accident claims
buying and selling property
conveyancing quote
HIP's
medical accidents
employment
family & children
other areas of expertise
wills, trusts and estates
spinal injuries
 
Business Advice
 
business premises
companies
disputes and claims
employment
employer protection service
employee privilege scheme
licensing
partnerships
running the business
 

legal guides
track my case
contact us and maps
archive news
useful links
recruitment
feedback
disclaimer
quality policy
 
 

 

Mediation Referral Form

(Marshall & Galpin Reference: LG/JS) 

Fax to 01844 215964, DX 80560 Thame 

or complete this form and click on the Send Form button below


Date of Referral
   

CLIENT 1:

Name:
Address:
Town/City:
Postcode:
Telephone number:
Solicitor's name, telephone number and DX:
Private/publicly funded:
Domestic violence concerns?
Any other concerns?

CLIENT 2:

Name:
Address:
Town/City:
Postcode:
Telephone number:
Solicitor's name, telephone number and DX:
Private/publicly funded:
Domestic violence concerns?
Any other concerns?
Children  
Names and Dates of Birth:  

Living With?  
Children to be seen by Mediator?
Child-inclusive option relevant?
Any Immediate Issues?  
   
 

Send an enquiry