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Case Submission Form

To submit a case for mediation, please click below to complete and submit our Mediation Case Submission Form   or contact us.

pdf Mediation Case Submission Form (Adobe® Acrobat Required, get it here)

All fields for Parties 1 & 2 are required.
Fields for Parties 3 through 8 are only required if more than 2 parties are participating in the mediation. If an attorney is representing more than one party, those parties may be listed in one field.

After receiving the case submission form, USA&M will solicit agreement.  USA&M provides the mediator and the venue and obtains the parties’ agreement to mediate.   For mediations there is no filing fee and no charge if we are unable to get the necessary parties agreement to participate. 

We structure our process to facilitate closing files, not to increase your workload.  You do not have to get the other side to agree before sending us the case.

Feel free to contact us with any questions you may have.






NOTE: Nothing contained herein is intended to give legal advice. Individuals should always consult with an attorney before entering into a contract.

500 N. Broadway, Suite 1800, Saint Louis, Missouri 63102
Telephone (314) 231-4642 | (800) 844-4ADR (4237) | Fax (314) 231-0137
Copyright 2014 United States Arbitration & Mediation