CPB Referral Form for Community Organizations and Law Enforcement

If you are a law enforcement officer, organization or individual seeking to refer a conflict to mediation services to be provided by Piedmont Peace Center, please check with at least one of the participants to ensure they want the case to go to mediation. If both parties do not agree to mediation, conflict coaching is available to individuals. To submit a referral, complete the referral form below or, if you prefer, you can click the link to download a form to submit manually.