Mediation Confirmation - Date: Time: 1Details2Payment HiddenPreferred Neutral HiddenStatus*PendingAcceptedCanceledContactedCompleteHiddenMediation Number* HiddenDate* HiddenTime* HiddenCase Type* HiddenDemand HiddenIssues Divorce Mod - Child Support Mod - Parenting Time Division of Property Domestic Violence HiddenIssues HiddenIs this a court-ordered mediation? HiddenCourt HiddenCounty* HiddenState* HiddenCase Number HiddenContact* HiddenParalegal* Hiddens-client* HiddenScheduling Firm Name Opp Name* Firm Name* o-client* Hiddeno-rep* Email* Enter Email Confirm Email Phone*insurance* Opp Paralegal opp add Email Hiddendef side* Represents the Plaintiff Represents the Defendant Hiddenplain side* Represents the Plaintiff Represents the Defendant Please Select a Payment Method - Credit Card or Invoice*Credit CardInvoiceHiddenMethod2 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number EX Month010203040506070809101112 EX Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Terms* By attending mediation, you agree to ADR On-Demand's terms and conditions to mediate. To review the entire Agreement to Mediate, Click Here Untitled* This fee is non-refundable if canceled within 48 hours of the scheduled mediation Untitled* I understand and agree to the 3 hour time allotted for this Mediation Untitled* I acknowledge that this mediation will be cancelled if payment is not received at least 48 hours before the scheduled mediation (notification will be sent only in the event of cancellation) code Hiddendiscount Companion Case Style Virtual Mediation Price: Companion Case Price: UM Companion CaseVirtual MediationInvoice Price: Virtual MediationInvoice Price: Virtual Mediation Price: 10% OFFTotalTotal $0.00 Hiddenentry Id* HiddenMediator*Please Selected a MediatorWayne C. WilsonJohn AustinAudrey BerlandEric S DawsonMichael EshmanRusty GrantBianca Motley BroomJason HarperKristen PittsKay ThompsonTabitha PonderParag ShahLeesa BohlerShuli GreenBlane McCarthyJohn McCorveyGary NicholsonJim SheaAndy LaxElizabeth ToddCade ParianBryan SutliveLarry MimsHiddenEmail* HiddenNotesYour Mediator has not uploaded notes for this matter. HiddenVideo Conference Link HiddenCase MetricsHiddenNumber of Hours* HiddenSettled or Impasse*Settled or Impasse (Required)SettledImpasseHiddenLast settlement offer HiddenSettlement Amount HiddenMedical Bills HiddenLost Wages HiddenProperty Damage HiddenSpecial NotesNameThis field is for validation purposes and should be left unchanged. Please review and verify the above information about your mediation before you confirm your reservation.