Mediation Services of Murfreesboro :: Quality Mediation Focusing on You and Your Needs

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Reduce Fee Application

Reduced Fee Mediation Services

Mediation Services is dedicated to tithing to our community. Accordingly, we mediate a select number of cases on a Reduced Fee Basis.

Individuals interested in applying for Reduced Fee Services may complete and submit the form below to Mediation Services.

Cases are examined on an individual basis. Financial qualification is only one of the aspects considered. Availability of Reduced Fee Services will vary and cannot be guaranteed.

Reduced rates will vary from case to case.

*Matter to be mediated

Give brief description of issue(s)

*What is your current employment income?

Please describe other sources of income (disability, social security, child support, other)

Income of other party to mediation

Please list additional income sources of other party (i.e. social security, disability, child support).

Please describe other issues which you believe should be considered in considering your application.

Name:

*Address:

*Phone:

*Email:

Other Phone: