Menu
About Miles
Our Team
Our Purpose & Core Values
Practice Areas
Business/Commercial
Construction
Employment
Insurance
Medical Malpractice
Personal Injury
Professional Liability
Real Estate/Property
Mediation
Neutrals
Arbitration
Initiate an Arbitration
Arbitration Roster
Rules & Clauses
Rate and Fee Schedule
Draft Forms
Arbitration Workflow
ADR On-Demand
Pay Online
Charitable Division
Education/CLE Division
Civil Litigation
Ethics
Legal Malpractice
Mediation Strategies
Technology
Trial Practice
Workplace Division
Thought Leadership/Articles
Miles’ Blog
Events
Locations
Atlanta
Birmingham
Charlotte
Columbia
Jacksonville
Nashville
Savannah
St. Louis
Tampa
Shop
X
Search
Go
Mediation
Arbitration
Initiate Arbitration
Arbitration at Miles
Arbitration Roster
Rules & Clauses
Draft Forms
Rate and Fee Schedule
Arbitration Workflow
Practice Areas
Business/Commercial
Construction
Employment
Insurance
Medical Malpractice
Personal Injury
Professional Liability
Real Estate/Property
Education
Education Overview
General Civil Mediation Training
Civil Litigation
Ethics
Legal Malpractice
Mediation Strategy
Technology
Trial Practice
News/Events
Business/Commercial Law
Construction Law
Employment Law
Get to Know our Neutrals
Medical Malpractice
Upcoming Events
Locations
Atlanta
Boston
Birmingham
Charlotte
Columbia
Houston
Jacksonville
Nashville
Palm Beach Gardens
Tampa
Savannah
St. Louis
Pay
Shop
Menu
Test
Online Mediation Request Form
We're sorry, Mediation with this neutral can not be scheduled at this time.
Hidden
Mediation
(Required)
Mediation
Neutral
(Required)
Andy Lax
Andy Rowlett
Audrey Berland
Arthur Mattson
Angus Macaulay
Barry L. Howard
Ben McCoy
Hon. Bianca Motley Broom
Blane McCarthy
Burke Johnson
Casey Crumbley
Chip Ford
Cindy Plymire
Christopher Smith
Craig Avery
Daniel Cohen
David Matthews
David Nutter
Dax Lopez
Debbie Tarkington
Dennis Ross
Doug Bennett
Doug Wilde
Douglas Chandler
Drew Lewis
Elizabeth Todd
Gary Nicholson
Gino Brogdon, Jr.
Greg Parent
Hon. Jason Harper
Hon. Susan Forsling
Hon. Tabitha Ponder
Jack Slover
James Young
Jami Farris
Jeffrey Appel
Jeff Ward
Jennifer Grippa
Jerry Hill
Jim Cooley
Jim Shea
Joe Murphey
John Austin
John McCorvey Jr.
Kay Thompson
Ken Shigley
Kristen Pitts
Leesa A. Bohler
Leigh Wilco
Louis Williams
Lynn Roberson
Luis Viera
Marc Barré, JR.
Marci Joel
Mark Clements
Matt Thiry
Melissa Maravich
Meredith Jeffries
Michael Eshman
Michael Russell
Nancy Norelli
Neal O’Toole
Parag Shah
Raymond Ayres, II
Rex Smith
Robert Cowles
Roy Paul
Rusty Grant
Sally Akins
Samuel Crosby
Shuli Green
Steve Dunn
Steven Selph
Stevie Buck
Todd Bechtel
Tom DeBari
Ward Davis
Wayne Wilson
Winter Wheeler
William Atkins
William Bracken
William Cooper
Scheduling Contact
(Required)
Scheduling Contact Email
(Required)
Hidden
Email
Location
(Required)
Atlanta, GA
Savannah, GA
Charlotte, NC
Nashville, TN
Jacksonville, FL
Central Florida
Tampa, FL
Columbia, SC
Case Venue
(Required)
In Person
Hybrid (In-person and Virtual)
Virtual
Case Name
(Required)
Please Provide the Full Case Style
Case Type
(Required)
Auto
Banking
Bankruptcy
Business Dispute
Civil Rights
Class Action
Commercial Dispute
Condemnation
Construction
Contract
Defamation
Domestic
Employment
Family Law
General Personal Injury
Global Mediation
Government
Hospitality
Insurance
Intellectual Property
Intentional Tort
Mass Torts
Medical Malpractice
Nursing Home
Premises Liability
Product Liability
Property
Real Estate
Sports and Entertainment
Trucking
Utilities
Wills, Trusts and Estates
Workers Compensation
Wrongful Death
Other
Case Number
Circuit/County
Hidden
Does a Mediation Notice need to be E-Filed?
(Required)
Yes
No
Mediation Length
(Required)
Full Day
Half Day (AM)
Half Day (PM)
Start Time
(Required)
9:00 AM
9:30 AM
10:00 AM
10:30 AM
1:00 PM
2:00 PM
Time Zone
(Required)
Eastern
Central
Mountain
Pacific
Date
(Required)
MM slash DD slash YYYY
Book/Hold
Booked
On Hold
Important - Remove to Release Date and Neutral
Party Information
Party Name
(Required)
Party Role
Plaintiff
Defendant
Plaintiff Attorney
U/A Carrier
Adjuster
Non-participating Party
Attorney Name
(Required)
Firm
(Required)
Insurance
Email
(Required)
Assistant/Paralegal Email
Party Name
(Required)
Party Role
Plaintiff
Defendant
Plaintiff Attorney
U/A Carrier
Adjuster
Non-participating Party
Attorney Name
(Required)
Firm
(Required)
Insurance
Email
(Required)
Assistant/Paralegal Email
Add Attendee 1
Add an Additional Attendee
Add party
Add an Additional Defense Counsel or Representative
Party Representing
(Required)
Name
(Required)
Firm/Company Name
(Required)
Email
(Required)
Phone
Additional Contact
Additional Contact E-mail
Add party
Add an Additional Defense Counsel or Representative
Party Representing
(Required)
Name
(Required)
Firm/Company Name
(Required)
Email
(Required)
Phone
Additional Contact
Additional Contact E-mail
Estimated Number Attending In-Person
Estimated Number Attending In-Person
Additional Notes
Have you used Miles Before?
(Required)
Central Florida Mediation Group is a subsidiary of Miles Mediation and Arbitration
New Customer
Returning Customer
How did you hear about Miles?
Please Select
Referred by Colleague
Social Media
Mecklenburg County Bar
Jax Daily Record
JD Supra
Legal Publication
Ad Online/Print
Southeast Takeaways
Blog
Other
Please let us know who referred you so we can say thank you.
(Required)
Other
(Required)
CAPTCHA
Hidden
Blocked
Section Break
