If you wish to make an application or find out more about Dispute Resolution by Mediation, 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 the service is not provided by Daniel Atkinson Limited.  You will be contacted using the contact details you have given us by a person willing to act as mediator or willing to assist you in confidence.  Confidentiality is central to mediation.

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 Mediation Services