Start a Case

The purpose of this form is to allow members of the community to open a mediation case with us via the internet. If you would rather open a case over the phone, please call us in north county at 805-349-8943 or in south county at 805-963-6765.

Upon receipt of your completed Intake Form, you will be contacted by Conflict Solutions Center staff to initiate your case.

Conflict Solutions Center Intake Form

Your Information
Name
E-mail*
Phone Number
Zip
Language Spoken
2nd Party Information
Name
E-mail
Phone Number
Zip
Language Spoken
What is it that you want from the other person?
Why is it that you want the above?