Orange County Divorce Mediation
Sondra BenNaEim, Esq.
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Contact
1851 East First Street
Suite 900
Santa Ana, CA 92705
sbennaeim@yahoo.com
Phone: 714-619-9344
Fill out the form below to begin the process of resolving your dispute.
Fees are negotiated between participants and mediators.
Please fill out
your
basic information
:
First Name:
(Required)
Last Name:
(R)
Phone:
Email:
(R)
Business Name
(if applicable):
If you do not wish for the mediator to contact the other party please leave this section blank.
Please fill out
the other party's basic information
:
First Name:
Last Name:
Phone:
Email:
Business Name
(if applicable):
Are there other parties involved in this dispute?
If so, list email addresses of other parties (one per line):
Please fill out these
dispute details
:
Nature of the dispute:
Adoption
Americans w/Disabilities Act
Art
Business
Civil (general)
Commercial
Community
Construction
Contracts
Criminal
Cross Cultural
Divorce (all issues)
Divorce (parenting)
Education
EEOC
Employment
Engineering
Environmental
Family (other)
Franchise
General
Insurance
International
Labor Management
Land Use
Landlord - Tenant
Legal Malpractice
Lesbian, Gay, Bi & Trans Issues
Medical
Native American Indian Disputes
Online Mediation and Facilitation
Organizational
Partnership Dissolutions
Police
Postal Service
Probate
Professional Fee Disputes
Public Policy
Real Estate
Religious / Church
Securities
Social Security
Special Education
Tax
Technology
Torts
Victim Offender Mediation
Work Place
Worker's Comp
What date did this dispute begin?
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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2007
2008
2009
2010
2011
2012
2013
What is the approximate monetary value of the items under dispute?
Less than $5,000
Less than $10,000
Less than $25,000
Less than $50,000
Less than $100,000
Over $100,000
Over $250,000
This dispute is regarding...
(R)
What do you and the other party disagree about?
(R)
Are there any things you and the other party might agree upon?
What has happened so far in this dispute? (phone calls, emails, etc.)
What do you want to get from this mediation?
(R)
Please add anything else you think it would be helpful for a mediator to know:
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