Schedule Mediation

To schedule your mediation, please fill out the Mediation Order Form below and submit to Baytown DRC and then call us to schedule your mediation date and time - (281) 424-6466

1. Contact information for person completing case information sheet:

NAMES OF PARTIES IN CASE

ADDITIONAL PARTIES IN CHILD SUPPORT CASE:

2. Indicate case type, or identify the most important issue in the case (select only one)

CIVIL

Contract

Injury or Damage

Real Property

Related to Criminal Matters

Employment

Miscellaneous

Tax

If Other Chosen

PROBATE AND MENTAL HEALTH

FAMILY LAW

3. Indicate procedure or remedy, if applicable (may select more than one)

Choose Procedure or Remedies (may choose more than one)

4. Indicate damages sought (do not select if a family law case)