The Request for Mediation form is the form that must be used to request mediation. You may obtain the form:
The form is simple to complete. The person(s) requesting mediation briefly describes the dispute. The WSEMS Intake Coordinator/Administrator, Jane Burns, can provide assistance in completing the form. Jane Burns may be reached at 1-888-298-3857.
The form should be signed and faxed to WSEMS at 262-538-1348 or mailed to WSEMS, P.O. Box 829, Madison, WI 53701-0829