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Legal Aid Support

You may be entitled to legal aid funded mediation if you or your ex-partner are on benefits, have a household income of less than £2,657 per month (if you live with a partner, their income will be calculated in this), and have savings of under £8,000.

Unfortunately we are unable to support you with legal aid funded mediation. Please do not submit this form.

You can visit https://find-legal-advice.justice.gov.uk/ to find a service that offers this support.

Date(Required)

Date you used our Family Mediation service before (leave blank if answered 'no' to above question).

Contact Details

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Alternative Telephone

Other Party Details

Email

Mobile

Alternative Telephone

Children's Details (if applicable)

Currently living with

Please give names of any other children

Useful Information

Are there any other reasons for needing mediation?

How did you find us?(Required)

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Family Mediation Referral Form