In preparation for your mediation, please complete and return this intake form to Old Pueblo Mediation Services either prior to, or at the time of, your first mediation session.  This document is strictly confidential and is provided as part of a confidential mediation process.  Please respond to each question.
This worksheet will help assure that all parties have the information they need to make an informed, consensual decision on property issues.  Full disclosure of assets is important to determine how property should be fairly divided between you and your partner.  Please complete to the best of your ability and bring with you at the time of your first mediation session.
This form is provided by the Arizona Superior Court of Pima County and is required in all case filings.  This form requires private sensitive information such as social security numbers.  Please safeguard this document and bring to your appointment.  This document is strictly confidential and is provided as part of a confidential mediation process.


Phone: (520) 881-2021

Fax: (520) 881-2142


2 East Congress, Suite 1000

Tucson, Arizona 85701


3919 East Cooper St.

Tucson, Arizona 85711


This website is not a solicitation for business. All content on the Old Pueblo Mediation Services (OPMS) website is intended to provide general information about OPMS and an opportunity for interested persons to contact OPMS. The content of this website is not offered as legal advice or legal opinion and it should not be relied upon for any specific situation.  No attorney client relationship is intended.  This website is for informational purposes only and does not constitute a complete description of OPMS services. While OPMS endeavors to keep the information updated and correct, OPMS makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, or reliability of the information contained in this website.