Case Name:  vs  Submission Date: Month:   Day:   Year:  Case Type: Submitting Attorney: Plaintiff:     Defendant:  Phone: Email Address: Opposing Counsel: Phone: Email Address Represents: Dates/timeframe being considered: Have all parties agreed to mediation? Yes:     No:  If yes, have all parties agreed to mediate with Kim Deck? Yes:     No:  Please include any additional information below that might assist in convening the case: