plugin test

March 2017

Sun Mon Tue Wed Thu Fri Sat

March 2017

Sun Mon Tue Wed Thu Fri Sat

Available

Fully booked

Partially booked

Pending

Half day pending

Schedule a Mediation * = required.

Select a mediation date by clicking on an available or partially booked date above.

Booking time:

^*Please select a booking on the calendar.

Booking location:

^*Please select a booking location.

Title Of Proceedings*:

^*Please complete this field.

Preferred Other Location:

^*Please complete this field.

Court File Number*:

^*Please complete this field.

Proceeding Commenced At*:

^*Please complete this field.

Plaintiff Counsel Information

Name*:

^*Please complete this field.

Firm*:

^*Please complete this field.

Email*:

^*Please enter a valid email address.

Assistant Email:

^*Please enter a valid email address.

Client Name*:

^*Please complete this field.

Name Of Person Booking Mediation*:

^*Please complete this field.

Email Of Person Booking Mediation*:

^*Please enter a valid email address.

Phone Of Person Booking Mediation*:

^*Please enter a valid number.

Defence Counsel Information

Name*:

^*Please complete this field.

Firm*:

^*Please complete this field.

Email*:

^*Please enter a valid email address.

Assistant Email:

^*Please enter a valid email address.

Client Name*:

^*Please complete this field.

Defence Or TP Counsel Information

Name:

^*Please complete this field.

Firm:

^*Please complete this field.

Email:

^*Please enter a valid email address.

Assistant Email:

^*Please enter a valid email address.

Client Name:

^*Please complete this field.

Notes:

^*Please complete this field.

Complete Title Of Proceedings:

Select document
Only .PDF and .DOCX supported

^*.PDF or .DOCX upload required when making a booking.

Brought Pursuant To Insurance Act YES Or NO*:

^*Please complete this field.

To enable this form. Please make sure all fields are filled in correctly & that there are no red errors underneath the fields.