Family Mediation Referral Family Mediation Referral Form Step 1 of 5 20% Party 1 DetailsParty 2 DetailsP1 Full Name P2 Full Name P1 Relationship P2 Relationship P1 Date Of Birth P2 Date Of Birth P1 Address P2 Address P1 Postcode P2 Postcode P1 TelephoneP2 TelephoneP1 Email P2 Email Solicitor Known 1 Check this box if you have the details of this party's solicitor to hand Solicitor Known 2 Check this box if you have the details of this party's solicitor to hand Party 1's Solicitor DetailsParty 2's Solicitor DetailsP1 Solicitor Name P2 Solicitor Name P1 Solicitor Address P2 Solicitor Address P1 Solicitor TelephoneP2 Solicitor TelephoneP1 Solicitor Email P2 Solicitor Email P1 Solicitor Reference P2 Solicitor Reference Are There Any Children in the Family?Are There Any Children in the Family? Yes No Child/Children's DetailsNameGenderDate Of Year (dd/mm/yyyy) Add RemoveIf you have more than six children press next and we'll get their details further along the mediation process What Issues Would You Require Mediation for?Issues Children Finances All Issues
