STEP 1 Agreement to Mediate
STEP 2 Case Details
  • Quantum / Nature of dispute
  • Other proceedings if commenced
  • Issue to be discussed
STEP 3 Mediation Preference
  • Date
  • Language
  • Venue
STEP 4 Mediator Preference
  • Mediator type
  • Other preferences
STEP 5 Information & Contact
  • Your information
  • Other party information
  • Authority to settle
  • Legal counsel

Note: By selecting this option, SIMI will be contacting you directly to follow up on your submitted case information. Your case will not be sent out to SIMI Mediators or partners just yet.

This section is optional.

Your InformationSIMI does not share any of your personal information with our mediators or partners. This is to protect the confidentiality of your information. Your contact information is used only by SIMI to verify your request, and by the system to forward any responses to your request directly to your email.

Other party information
This section is optional.SIMI does not share any of the party information with our mediators or partners.

Party 1 Information
If you do not intend to fill in details of the other party, please click on the 'Delete’ button and proceed to the next page.DELETE

Do you have the authority to settle?

Legal Representation

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Please confirm the information you are going to submit

Request submitted by : Individual
Step 1: Agreement to mediate
Do the parties agree to mediate?
Step 2: Case Details
Quantum of Dispute:
Nature of Dispute:
Is it a cross border dispute?
Other proceedings if commenced :
Do you have the contact information of the other party?
How long has this dispute been ongoing?
Briefly describe the injury or loss suffered :
Issues to be discussed :
Step 3: Mediation Preferences
How many days are you willing to set aside for mediation?
Preferred Date :
Other Preferred Date (1) :
Other Preferred Date (2) :
Language for Mediation :
Additional Language for Mediation :
Location for Mediation :
Type of Venue :
Mediation Budget :
Are you open to online mediation?
Step 4: Mediator Preferences
I would like to receive responses from :
Nationality :
Profession :
Industry :
Step 5: Information & Contact
Your Information
First name :
Last name :
Contact number :
Email :
State / Province :
Country of residence :
Others Party Information
Do you have the authority to settle?
Legal Representation :
Is this the first time you are using this service?
Note : While SIMI does not charge any fees for using this service, we would be grateful for any contributions that will go towards defraying the cost of running the site. SIMI Partners and Mediators will also have their own respective fees.

Agreement and Declaration


Your case has been submitted successfully

CASE : #


Validation in progress…

We are looking into your request and will validate it as soon as possible. If you do not receive the validation email within 2 working days, please email with the subject “Case #

Thank you for using SIMI 'Look and Hire' mediators request site.

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