Mediation And Diversion Services PIP Request

MEDIATION AND DIVERSION SERVICES PIP REQUEST. This form is used to request mediation services for cases related to Personal Injury Protection (PIP) claims in Florida. It requires information such as the requester's name, date, case number, division, phone number, fax number, and the case style (Plaintiff vs. Defendant). Additionally, it asks for details about the attorneys representing both parties, the date the PIP order was signed by the judge, and preferred dates and times for the mediation session. The requester is also advised to contact the program to confirm available dates/times before faxing the request. www.FormsWorkflow.com