Bickerman Dispute Resolution, PLLC
1201 New York Ave, NW, Suite 625
Washington, DC 20005

Phone: 202-289-0400
Fax: 202-289-1020
Email: info@bickerman.com
Website: www.bickerman.com

 

Please fill out and submit the form below for a prompt and accurate response to your needs.

PARTY INFORMATION

Name (Last/First)

Relationship to Case

Company/Firm Name

Company/Firm Address


City/State/Zip

Phone Number/Fax Number

E-mail Address

 

ADDITIONAL PARTY INFORMATION
 
Name (Last/First)

Relationship to Case

Company/Firm Name

Company/Firm Address


City/State/Zip

Phone Number/Fax Number

E-mail Address

Please fax or email the names of additional people you would like us to contact to provide information about our firm.
 

SERVICES REQUIRED
 
Nature of Case:

Mediation

Arbitration

Dispute Prevention Design

Other

 
Please describe the nature of the case or training in further detail:

 

 
Case Type:

Commercial Insurance Coverage

Construction Defect

Commercial Dispute

Mass Torts

Environmental

Intellectual Property

Other
 

 
Please describe the type of case in further detail:

MAGNITUDE OF CASE

                        Less than $100,000

                        $100,000 - $500,000

                        $500,000 - $1 million

                        $1 million- $10 million

                        More than $10 million

CASE STATUS
 
Is case in litigation? Yes No

Has (have) other party(ies)
agreed to submit case to ADR? Yes No

Potential location of dispute settlement:


What are the key dates for hearings
or other significant events?


 

COMMENTS OR QUESTIONS


 
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