Mediation Video/Cloud Conferencing Acknowledgment

The undersigned hereby consents to participate in consultation/conference for mediation legal services to occur via video conferencing hosted by “Zoom” (www.zoom.us). Participation requires a computer, laptop, smartphone or tablet with video and auto capability. The undersigned hereby acknowledges that they have had the opportunity to review the security information available at http://baezlawrva.com/wp-contentzoom.us/docs/doc/Zoom-Security-White-Paper.pdf and acknowledges certain security threats are inherent to cloud conferencing or communicating via a web-based service. The undersigned hereby waives and discharges the provider of legal advice from any liability relating to any breach of confidentiality or Attorney Client privilege which may occur as a result of using the “zoom” video conferencing service.

Prior to your consultation/meeting, you will receive an invitation to join, at which time you will be allowed to enter the meeting. By signing below, you acknowledge that you have read and understand what you are agreeing to, and that you are competent to enter into this agreement. You further agree that no third parties, absent consent of the professional providing you advice, shall be present during the video conference call.

Electronic signatures. This document may be executed by electronic signature, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature. Without limitation, “electronic signature,” shall include signature by faxed versions of an original signature or electronically scanned or photographed and transmitted versions (e.g., via pdf or docusign) or an original signature.

Mediation Intake Form

Mediation Intake Form

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