ERI - Kenneth A. Gamble

Early Resolution, Inc.

Early resolution, Inc.

Dispute Resolution Consultancy

Face to Face and Online ADR

Dispute Resolution Office Referral

The purpose of this form is to allow members of the community to refer individuals to Early Resolution whom they believe could benefit from our services. If you have any questions about whether a situation is appropriate for referral, please do not hesitate to call us at 306-584-0024.

Before sending this form, we ask that you do the following:
1) Inform the parties you're making this referral.
2) Gather the following contact information when available.

* = required information

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1st Party Information

Name:*
Street:
City:*
Province:
Postal Code:
Phone:*
Language spoken:	English Other:

2nd Party Information (if known)
Name:
Street:
City:
Province:
Postal Code:
Phone:
Language spoken:	English Other:


Why are you referring these parties? Summary of issue:*

Which service is required by these parties?*

Arbitration

Investigation Harassment

Family/Civil/Workplace Mediation

Workplace Facilitation

Other:

Your Information:
Name:*
Affiliation:	Family Counselor Lawyer Other:
City:*
Phone:*
Email:*

If referred by legislation, please enter the case number if available:

If you have suggestions for this form or experience problems,
please e-mail Kenneth Gamble

Early resolution, Inc.
Suite 16 – 2700 Montague Street, Regina, SK. S4S 0J9
Tel: 306-584-0024 Fax: 306-584-3395 Toll: 866-591-4230
Web: www.earlyresolution.com Email: admin@earlyresolution.com