Mediation Request Form

Request for Mediation


  • Use this form to request a 30 minute Zoom appointment with a BRHP Counselor, tenant, and landlord. Upon submission, a counselor will reach out to schedule the mediation at a time that works for all parties. Completion of this appointment requires participation from both parties. Once scheduled, the Counselor must be informed at least 24 hours in advance if the appointment cannot be kept by either party. The appointment may be rescheduled one time.

  • Request for Landlord/Tenant Mediation

  • Tenant Information

  • Property Partner Information

  • Drop files here or
    Max. file size: 50 MB, Max. files: 5.
      Upload any photos or documents relevant to the mediation inquiry.

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