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To submit a case for review, please fill out and submit the form below or download the form and fax it back to us at (213)485-8565.

The Los Angeles City Attorney's Dispute Resolution Program conducts free Volunteer Mediator training every quarter. If you are interested in becoming a Volunteer Mediator, please request a Registration Packet by emailing or faxing your name, address and phone number.

OFFICE OF THE LOS ANGELES CITY ATTORNEY DISPUTE RESOLUTION PROGRAM
PROBLEM INQUIRY

 

Date:

FIRST PARTY

SECOND PARTY

NAME:

Business Name:

ADDRESS:

CITY:

STATE:

ZIP:

PHONE (D):

PHONE (E):

NAME:

Business Name:

ADDRESS:

CITY:

STATE:

ZIP:

PHONE (D):

PHONE (E):

FIRST PARTY STATES:

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