Submit a Case

If you would like to submit a matter to ADR Services, Inc. or wish additional information on members of our panel, please fill in the form below. You may also contact us via telephone at (310) 201-0010 or e-mail us.

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Plaintiff's Counsel:

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Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal code

Work Phone

Fax

Defendant's Counsel:

Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Fax

Insurance Adjuster (if any):

Name

Organization

Work Phone

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Plaintiff:

Name

Defendant:

Name

Case Name:

Enter the type of matter in the space provided below (mediation, arbitration, discovery reference, etc.).

Enter the name of the jurist or jurists you wish to consider for this matter:

Have the parties agreed to this neutral?

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How should the fees be split?

What time frame are the parties considering? Are there any time constraints involved?

What type of case is this (ex: Construction, Medical Malpractice, etc)?

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This page was last modified in August 2008

Disclaimer: Please be advised that the contents of this web site and any other statements contained herein are for informational purposes only and are not intended to be represented as legal advice in any way.

Submit a Case

Plaintiff's Counsel:

Defendant's Counsel:

Insurance Adjuster (if any):

Plaintiff:

Defendant:

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