If there is a contract that provides for mediation through the Próspera Arbitration Center (the PAC), please file using the Request for Mediation form.

The information you provide is solely for the purpose of managing your mediation. If you have any questions, please email us at legal@pac.hn.

Party 1 Information

Name of Party 1: * Company, Organization, or Person's Name if an individual.

Party 1 Email *

Party 1 Phone *

Party 1 Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Party 1 Representative Information

(if applicable)

Party 1 Representative Name

Name of Party 1 Representative Firm (if applicable)

Party 1 Representative Email

Party 1 Representative Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Party 1 Representative Phone

Party 2 Information

Name of Party 2 *

Party 2 Email *

Party 2 Phone *

Party 2 Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Party 2 Representative Information

(if applicable)

Party 2 Representative Name

Party 2 Representative Email

Party 2 Representative Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Party 2 Representative Phone

Name of Person Filing this Submission *

If not online, Requested Mediation Locale (City & State):

If Yes, enter name of mediator:

Summary of Dispute: *

Claim or Relief Sought: (amount, if any)

Allocation of Costs: % Party 1 *

Allocation of Costs: % Party 2 *

Requested Date for mediation conference (if any)

An Administrative Fee of US$1,000.00 is required to initiate the PAC’s administration of the mediation and appointment of the mediator. Additional fees include Hourly Fees for mediation services rendered. For additional information, please refer to the PAC’s Schedule of Fees.