Mediation Programs
California Agricultural Mediation Program
Hawaiʻi Agricultural Mediation Program
New Hampshire Agricultural Mediation Program
Vermont Agricultural Mediation Program
Environmental Mediation Screening
About Mediation
About Mediation
FAQ
Who We Are
About EMC
Staff
Board of Directors
Contact
Mediation Programs
California Agricultural Mediation Program
Hawaiʻi Agricultural Mediation Program
New Hampshire Agricultural Mediation Program
Vermont Agricultural Mediation Program
Environmental Mediation Screening
About Mediation
About Mediation
FAQ
Who We Are
About EMC
Staff
Board of Directors
Contact
Environmental Mediation Center - Mediator Invoice Form
This invoice form applies to all 3 programs (VTAMP, HIAMP, and NHAMP)
Mediating Program:
*
California Agricultural Mediation Program
Hawaii Agricultural Mediation Program
New Hampshire Agricultural Mediation Program
Vermont Agricultural Mediation Program
Mediating Program:
Name of Dispute:
*
Date services were rendered:
*
Mediation Details / Payments
Preparation time:
In Hours
Mediation Time:
In Hours
Travel time:
In Hours
Mileage Traveled:
Total Fee to be paid to the mediator:
$
Prep and Mediator time bill at $240/hour with $90/hour donation = $150/hour paid
Mileage Reimbursement Total:
$
Miles * $.50/mile
Mediator Information
Mediation services provided by:
*
Mediator's Social Security Number:
*
Mediator's Address:
*
I certify that the above invoice is accurate:
*
By typing your name above and submitting this form you certify the above invoice is accurate.
If you are human, leave this field blank.
Captcha
*
In order to pass the CAPTCHA please enable JavaScript