Family Mediation Registration Form

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If your annual gross income is less than £41,500 per annum, please read and complete the income confirmation statement below.
"I confirm that my annual gross income is less than £41,500 per annum. I understand that by signing this form to this effect I am making a statement of fact and will be able, if asked, to provide WMS with evidence (e.g. payslips or copies of bank statements) of this)."
It really helps us set up meetings and the mediation as soon as possible if you can give us as much information about your availability.
Additional Comments around availability to attend mediation: (e.g. can attend only within school hours).
Please state where you heard about WMS if you selected "Other" above..