This a provisional booking form and will not incur you in any cost

Person booking case

Name:

Tel:

Email:

 Party 1Party 2

Name of Parties

Solicitor firm name

Name of person acting

Solicitor tel no

Solicitor email

Name of counsel

For additional parties please enter details below

Person booking case

Approx amount claimed (and counter-claimed, if applicable)£

Court proceedings commenced?Yes - If Yes date commenced:
 No

Amounts of Part 36 offers, if any?£

Case referred to mediation by court?Yes
 No

Have both/all parties agreed to mediate?Yes
 No

 Party 3Party 4

Name of Parties

Solicitor firm name

Name of person acting

Solicitor tel no

Solicitor email

Name of counsel

 Party 5Party 6

Name of Parties

Solicitor firm name

Name of person acting

Solicitor tel no

Solicitor email

Name of counsel

Is there any additional information of which Expedite Resolution shouldbe aware?

For examples, is the case particulary sensitive, is the matter particularly urgent?

Please enter the security code in the image above: