Republic Finance - Mediation

Most disputes can be resolved through our complaint process, without the need for a formal mediation process by the American Arbitration Association.

Have you previously submitted a complaint?
Yes No

* Required

First Name *

Last Name *

Home Address *

City *

State *

Zipcode/Postalcode *

Country *

Phone *

Email *

Best Time to Call *

Account/Contract Number

Briefly Explain the Dispute

Do you believe there is any money owed to you?

Yes
No

If Yes, how much?