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Miami, FL 33131
Phone: 305.579.9813
Fax: 305.358.4707
William C. Hearon, P.A.
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CASE TRANSMITTAL FORM
Case Name:
Your Name:
Your Firm:
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Fax:
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Your Client
:
Plaintiff:
Defendant:
Other Parties and Representatives:
Name:
Plaintiff:
Defendant:
Represented By:
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Company/Firm:
Mailing Address:
Name:
Plaintiff:
Defendant:
Represented By:
Telephone:
Fax:
Company/Firm:
Mailing Address:
Name:
Plaintiff:
Defendant:
Represented By:
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Fax:
Company/Firm:
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Type of Case:
Select Category
Antitrust
Aviation
Bad faith
Banking
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Wrongful death
Chosen Neutral:
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Latest Demand:
$
Latest Offer:
$
Litigation?:
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Key Dates:
Have all other parties agreed to mediation?
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Explain:
Fees & Expenses to be paid by:
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Human Verification:
What is 9 divided by 3?
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