Mediator Biography Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Mediator Biography Form. This is a Michigan form and can be use in Kent Local County.
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Tags: Mediator Biography, Michigan Local County, Kent
KENT COUNTY CIRCUIT COURT
MEDIATOR BIOGRAPHY
www.accesskent.com/courtsandlawenforcement/17thcircuitcourt/17cc_mediate.htm
Name:
Firm/Company/Employer/Agency:
Website link (if desired):
Address:
Telephone:
Fax:
E-mail address:
Profession of Origin:
(Attorney, Psychologist, etc.)
Educational Background:
Other information:
Other languages:
Mediator’s rates and charges:
Retainer?
No
Yes, Amount:
Do you charge for administrative time in scheduling the mediation?
much?
Do you charge if no mediation is held?
No
No
Yes, if so, how
Yes, if so, how much?
Return biography as a Word attachment to: ADR.Clerk@kentcountymi.gov or mail to the
ADR Office at 180 Ottawa Avenue NW, Suite 3100, Grand Rapids, MI 49503
Revised: 1/15/09
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