Contact

Got a Dispute?

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Date:

Please insert details below of yourself and your neighbour. If the dispute involves more than one neighbour please give details of the other/s in the section headed BRIEF DETAILS OF THE DISPUTE

YOU

Name(s)*:

Address*:

Email*:

Tel:

To help our mediators understand you better please provide the following information:

Is English your first language?
 Yes No


Do you need someone with you to help with communication?
 Yes No


Do you have a disability or mobility problem?
 Yes No


Your Age:
 Under 21 22-55 56-70 71 and over


Availability:
 Mornings Afternoons Evenings Weekends Anytime


Key Issues*:
 Noise Boundaries Trees-Hedges Parking Verbal Abuse Harassment Anti-social behaviour Animals Children



YOUR NEIGHBOUR

Name(s):

Address:

Email:

Tel:

It would also be helpful to have this information about your neighbour if you know it:

Is English their first language?
 Yes No


Is it likely that they will need someone with them to help with communication?
 Yes No


As far as you know do they have a disability or mobility problem?
 Yes No


Their approximate age:
 Under 21 22-55 56-70 71 and over


BRIEF DETAILS OF DISPUTE* (including type of property):

Please answer the sum:

Any other message

Click here for our Client’s  Complaints Procedure

To send us feedback – positive or negative please use the form below.

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Subject

Your Message

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