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Daniel Atkinson Limited 

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P.O. Box LB 1466     London W1A 9LB    England

Tel: +44 (0) 1689 819 381    Fax: +44 (0) 1689 811 583  Email:daniel@atkinson-law.com

If you wish to make an application or find out more about Dispute Resolution by Med-Adjudication, please fill out the following information and press the SUBMIT button, or contact us direct at the contact addresses given above.  Please note that the information in blue and with an asterisk * is required to be completed in order for the submission to be accepted and so we can properly deal with your request or comments.

Please note that if an application is made for appointment of a Med-Adjudicator that Daniel Atkinson will personally act as Med-Adjudicator but through Daniel Atkinson Limited.  You will be contacted using the contact details you have given us by Daniel Atkinson in confidence.

Daniel Atkinson Limited reserves the right not to process the application and cannot guarantee that a response will be received quickly or at all.  Daniel Atkinson Limited accepts no responsibility for any advice or services received nor any actions done, or not done, as a result of receiving such advice or services.

 

Application for Med-Adjudication Services

Do you require any of the following Med-Adjudication Services?
Med-Adjudicator  Representation  Training Legal Opinion Information

YOUR DETAILS

Name*
Name of Firm*
Address
Telephone Number*
Fax Number*
E-Mail Address*

OTHER PARTY'S DETAILS (if any)

Name of Firm
Address
Telephone Number
Fax Number
E-Mail Address

DISPUTE

Nature of 

Dispute

Has a proposal been made to commence med-adjudication?

Yes 
No

Has there been agreement to Med-Adjudication?

Yes  
No

      

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