Family Mediation

Services

Resources

FAQ

Intake Application

Fill out the following information to begin your application.

If want to speak with an intake worker but do not want to apply:
Call 204-925-3434 or Email [email protected]

First & Last Name

Email

Phone Number

Lawyer Name

First and Last Name of Other Party

Relationship

Date of Marriage

Date of Separation

Number of Children

Reason for separation

Service Requested