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Request for Mediation

CLAIMANT
CLAIMANT
@
RESPONDENT
RESPONDENT
@

GROUNDS FOR REQUEST AND EVIDENCES
( COPIES OF DOCUMENTARY EVIDENCE INCLUDING CONTRACTS, SHIPPING DOCUMENTS, INSPECTION REPORTS,
PAYMENT RECORDS, ETC.)

ENCLOSURES COPIES OF DOCUMENTARY EVIDENCE AND POWER OF ATTORNEY (IF ANY, BEING MADE BY AN AGENT).

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