Apply for Mediation

Email trish.hoff@5wentworth.com.au or fill in the Application Form below.

Name of authorised party representative *
Name of authorised party representative
Phone number *
Phone number
Phone number of authorised party representative
Specify all parties (required for conflict checking)
If proceedings commenced, insert Court and plaint number, and most recent court date
If a Court has referred parties to mediation, specify judicial officer and date of order
If Court referred, what is the last date for the mediation to be completed?
Specify agreed dates. If not yet agreed, specify preferred dates and any other relevant information
Specify mediation venue if agreed
Indicate the quantum in dispute (including costs)
Describe nature of dispute, quantum, brief details of dispute, stage of proceedings, and any urgency