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550 Hulet Drive Suite 102 Bloomfield Hills Michigan 48302 Tel. 248 338-4280 Fax 248 338-0480 www. mediation-omc.org REQUEST FOR MEDIATION FORM Date of Request Instructions To open a case please complete this form and send along with payment as indicated below. PROCESS FOR OPENING A MEDIATION CASE Upon receipt of this referral form the following will occur OMC Staff will contact the initiator of the case to further explain the mediation process and screen the situation for appropriateness. OMC...

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