Fillable MEDIATOR REQUEST FOR ADVISORY OPINION (NC Admin. Office of the Courts)

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MEDIATOR REQUEST FOR ADVISORY OPINION (NC Admin. Office of the Courts)

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NC DISPUTE RESOLUTION COMMISSION
PO BOX 2448
RALEIGH, NC 27602
(919)-890-1415
MEDIATOR REQUEST FOR ADVISORY OPINION
1. Name:
2. Address:
3. Email:
4. Phone:
5. Request for Advisory Opinion:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
6. Mediator requests to remain anonymous: (yes or no).
By signing this request form, the mediator acknowledges the request is based upon actual events
occurring or issues arising in cases in which the requesting mediator is or has been involved.
Date: ______________ Mediator name:
Signature:
For NCDRC use only:
This request for an Advisory Opinion _____ is _____ is not approved.
Date: __________
Approved by: __________________________
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MEDIATOR REQUEST FOR ADVISORY OPINION (NC Admin. Office of the Courts)

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Completed 14 August 2020

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