If yes, copy of current orders are required with this form. Photos of documents MUST be legible.
After you select a file from your computer, the file will upload when you submit this completed form (“Submit Mediation Request Form” at the bottom of this page.) If you do not have a copy of the order, please contact our office at (253) 572-3657.
List any circumstances you wish the Center to consider
Contact us or remit your payment to:
Center for Dialog & Resolution
717 Tacoma Ave. South
Tacoma, WA 98402
Cases will not be processed until payment is received.