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NO COURT DATES. NO ATTORNEY'S FEES.

LESS HASSLE. LESS EXPENSE.

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  • PROBLEMS WITH YOUR LANDLORD OR TENANT?

  • NEED TO REVISE YOUR PARENTING PLAN?

  • FIGHTING WITH YOUR NEIGHBOR?

   

  RESOLVE THESE ISSUES  AND MORE WITH A MEDIATED SETTLEMENT AGREEMENT. 

  FOR MORE INFORMATION, REVIEW THE MAZZOLA MEDIATION OVERVIEW:  

 

 

 

UNSURE IF MEDIATION IS RIGHT FOR YOUR DISPUTE?

 FIND OUT MORE FOR FREE FROM THE SAFETY AND PRIVACY OF HOME.

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  • No risk.

  • No pressure.

  • No gimmicks.

  • No credit card or personal contact.

  • Just Answers.

 

small sign version CROPPED AND SHARPENED

MEDIATION CONSULTATION QUESTIONNAIRE

PURSUANT TO THE FLORIDA MEDIATION CONFIDENTIALITY AND PRIVILEGE ACT, MAZZOLA MEDIATION, PLLC DOES NOT DISCLOSE CONFIDENTIAL INFORMATION PROVIDED DURING, OR IN CONTEMPLATION OF, MEDIATION WITHOUT CLIENT CONSENT EXCEPT AS REQUIRED OR PERMITTED BY LAW UNDER SECTIONS 44.401-.406, FLORIDA STATUTES. 


THIS FORM IS FOR VERIFICATION PURPOSES ONLY AND IS NOT INTENDED TO ELICIT PERSONAL OR PRIVILEGED INFORMATION. YOUR ANSWERS WILL BE USED SOLELY TO ASSESS WHETHER MAZZOLA MEDIATION’S SERVICES ARE APPROPRIATE AND COMPATIBLE WITH THE NATURE OF YOUR DISPUTE. 

CONTACT INFORMATION

IS IT OKAY TO LEAVE A VOICE MESSAGE?
IS IT OKAY TO LEAVE A MESSAGE WITH A MEMBER OF YOUR HOUSEHOLD?

MEDIATION SUBJECT MATTER

DO YOU HAVE ANY SAFETY CONCERNS INVOLVING THE OTHER PARTY?

LEGAL PROCEEDINGS

HAS A COURT CASE BEEN FILED REGARDING YOUR DISPUTE?
HAVE YOU BEEN ORDERED BY A COURT TO ATTEND MEDIATION?
ARE YOU REPRESENTED BY AN ATTORNEY?
IS THE OTHER PARTY TO YOUR DISPUTE REPRESENTED BY AN ATTORNEY??

ACKNOWLEDGMENT & SIGNATURE

YOUR INFORMATION HAS BEEN SENT.

YOU WILL BE CONTACTED WITHIN 1-2 BUSINESS DAYS. 

THANK YOU FOR CONTACTING MAZZOLA MEDIATION, PLLC

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