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Please provide our case managers with a brief summary of the conflict the you have been experiencing:
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Have you taken any measures to resolve the issues? Please explain:
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Are you willing to proceed with mediation services in attempt to resolve this issue, understanding that there will be a nominal case fee required to open the case? (As fees vary by city, please see Solve-It! Case fees for more information)
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Do you require any specific accommodations for a mediation session (for example: sign language interpreter, wheelchair access, Spanish interpreter ), etc.)? Please specify here:
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The personal information that you submit in this form is sent directly to the Solve-It! office and is confidential to your case file--it will not be shared with any outside party.
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