One S.E. Third Avenue
Suite 3000
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:    
Telephone:   Fax:
Mailing Address:   Email:

Your Client

:		   Plaintiff:
Defendant:

Other Parties and Representatives:
Name:     Plaintiff:
Defendant:
Represented By:      
Telephone:   Fax:
Company/Firm:      
Mailing Address:  
         
Name:     Plaintiff:
Defendant:
Represented By:      
Telephone:   Fax:
Company/Firm:      
Mailing Address:  
         
Name:     Plaintiff:
Defendant:
Represented By:      
Telephone:   Fax:
Company/Firm:      
Mailing Address:  
     
Type of Case:  
Chosen Neutral:  

Status of Case:
Latest Demand:   $ Latest Offer: $
Litigation?:   Yes      No Key Dates:
Have all other parties agreed to mediation?   Yes      No
Explain:  
Fees & Expenses to be paid by:  50/50 Split:
Referring party:
Other:
Special Instructions/Comments: 

Human Verification:
What is 9 divided by 3?





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