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Only a party or their attorney may complete a request form. Contact the DRO Intake Office at 713-274-7303 to inquire about mediation dates.If you feel that your dispute is appropriate for mediation, please complete the forms as outlined below. Please complete the following form to begin scheduling your mediation. Virginia Workers' Compensation Commission. Full and Final Mediation Request Form. On the Forms page complete a Request a Mediation form. Send the form to the DRP as instructed on the form. Complete and sign the bottom portion of the original. Request form to declare that you will deliver the copies to the other parent.