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CASE SUBMISSION

For more information about scheduling an ADR service or to find the right neutral for your case, call 888.258.1237 or email booking@alterityadr.com.

First Name*

Middle Name

Last Name

Email*

Phone

Service*

Full Case Caption*

Claim Amount*

Select Neutral*

Brief Description of Dispute*

Requested Date

Requested Start Time & Time Zone

Location

Plaintiff (P1)

P1 Representative Name

P1 Rep Firm

P1 Rep Firm Address

P1 Rep Firm Phone Number

P1 Rep Firm Email

Additional P1 Rep Names & Email

Defendant (P2)

Defendant P2 Representative Name

P2 Rep Firm

P2 Rep Firm Address

P2 Rep Firm Phone Number

P2 Rep Firm Email

Additional P2 Rep Names & Email

Additional Notes/Information*