Unlocking Answers through Dispute Resolution

Submit a Case

Case Submission

Instructions: To submit a case to MDRS you can call us at 800-536-5520 and submit your case information by telephone OR you can complete the following electronic form and email it to us with a single click of the ‘SUBMIT’ button below.

Upon receipt, we will contact you to finalize the case submission, answer any questions you may have, and MDRS will do all that is necessary thereafter to contact all parties and schedule the matter for a convenient mediation session or arbitration hearing.


    Submitted By:

    Email Address: *

    Type of Case:

    Phone: *

    Case Name:




    Services Requested:

    MediationArbitrationHigh-Low Arbitration

    Other, please specify:


    Preferred dates & location:


    Preferred Neutral(s):


    Please list any further comments below or on a separate sheet: