Solano County Bar Association
744 Empire Street, Suite 201, Fairfield, CA 94533
Ph (707) 422-5087 fax (707) 422-3860 LRS (707) 422-0127

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SCBA Dispute Resolution Service Intake Form

Date:

Case Developer:

Case Number:

 

 

First Disputant (Contacting Party)
 
Name:

Referral Source:

Address:

Phone:                                        Work Phone:

Fax:                                       

 

 

Second Disputant
 
Name:

Address:

Phone:                                        Work Phone:

Fax:                                       

 
 
Relationship of Disputants:

Type of Dispute:

 
 
   
 
 
   

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