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Home
About us
Services
Resources
Legal Aid
Law Society of NSW
Law Access
Western Sydney Community Legal Centre
Family Court
Federal Circuit Court of Australia
Family Relationship Centres
Unifam Counselling
Relationships Australia
Blog
Contact Us
Call 0438212175
Family Dispute Resolution Mediation Intake Form
FAMILY DISPUTE RESOLUTION MEDIATIONS
Name
(Required)
First
Last
Address
Street Address
Suburb
State
Post Code
Home Telephone Number
Work Telephone Number
Mobile Telephone Number
Email
(Required)
Have you seen a Lawyer about this matter?
Lawyers Telephone Number
Lawyers Email Address
Will your Lawyer be attending mediation?
Yes
No
Name/s of children & Date of Births:
Name of other party:
Address of other party
Street Address
Suburb
State
Post Code
Telephone numbers of other party
Email address of other party
Solicitor acting
Solicitor acting email
Solicitor acting phone
Matter relates to:
Property
Parenting (601)
Is there any problem attending at same time as the other party:
Yes
No
Do you require separate rooms:
Yes
No
Nature of dispute (explain briefly what you would like to discuss at the mediation):
If a property matter, is solicitor attending mediation?
Yes
No
Are there any court proceedings on foot?
Yes
No
If yes please provide date of when matter next in court.
Any current AVOs?
Yes
No
(If yes please provide a copy of the AVO)
Max. file size: 100 MB.
Are there any current orders?
Yes
No
(If yes please provide a copy)
Max. file size: 100 MB.
If a children’s matter has a notice of child abuse or family violence been filed in this matter?
Yes
No
If this is a property mediation please list all the assets including superannuation and liabilities that you wish to discuss
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