Conflict Resolution Mediation Agreement Template

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Sample

Conflict Resolution Mediation Agreement Template

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Conflict Resolution Mediation Agreement Template (1)
Between:
[Name of the Mediator]
[Mediator’s ID]
[Mediator’s Address]
[Mediator’s Phone]
[Mediator’s Email]
And:
[Name of Party One]
[Party One’s ID]
[Party One’s Address]
[Name of Party Two]
[Party Two’s ID]
[Party Two’s Address]
Introduction:
This document serves to formalize the mediation agreement entered into on [Date], to resolve the disputes arising between the parties amicably and effectively.
Clause 1: Purpose of Mediation
The purpose of this mediation is to facilitate communication between the parties and to work towards a mutually satisfactory resolution of their disputes.
Clause 2: Mediation Process
The mediation will be conducted in a confidential setting and will involve the following steps: [Outline the mediation process].
Clause 3: Fees and Costs
The parties agree to share the costs of mediation equally, with the mediator’s fee being [Specify Fee] to be paid upon contract signing.
Clause 4: Confidentiality
All discussions, negotiations, and documents presented during the mediation process shall remain confidential and cannot be disclosed to any third party, except as required by law.
Clause 5: Resolution Agreement
If the parties reach an agreement, it will be documented and signed by both parties and the mediator, indicating their acceptance of the terms.
Clause 6: Termination of Mediation
The mediation may be terminated by any party if they feel that a resolution is not possible or for any other valid reason.
Signed in [City], [Date].
Sincerely,
[Signature of the Mediator]
[Name of the Mediator]
[Signature of Party One]
[Name of Party One]
[Signature of Party Two]
[Name of Party Two]
Conflict Resolution Mediation Agreement Template (2)
Between:
[Name of the Mediator]
[Mediator’s ID]
[Mediator’s Address]
[Mediator’s Phone]
[Mediator’s Email]
And:
[Name of Party One]
[Party One’s ID]
[Party One’s Address]
[Name of Party Two]
[Party Two’s ID]
[Party Two’s Address]
Introduction:
This Agreement outlines the facilitation of a mediation process aimed at resolving the conflicts between the parties, initiated on [Date].
Clause 1: Overview of Mediation
The mediation aims to assist both parties in reaching an amicable agreement regarding their issues through structured dialogue.
Clause 2: Structure and Conduct of Mediation
The mediation shall take place on [Specify Dates] at a mutually agreed location, adhering to the following process: [Detail the mediation structure].
Clause 3: Payment of Mediator Fees
The parties agree to pay the mediator’s fee of [Specify Amount], which will be divided equally between them.
Clause 4: Confidentiality Terms
The parties acknowledge that any statements made during the mediation are to remain confidential, and both agree to refrain from disclosing any information to outside parties.
Clause 5: Binding Nature of Settlement
Any settlement agreement reached shall be binding on both parties and will be formalized in writing and signed.
Clause 6: Ending the Mediation
The mediation can be concluded by mutual agreement or by either party withdrawing with written notice to the mediator and the other party.
Signed in [City], [Date].
Sincerely,
[Signature of the Mediator]
[Name of the Mediator]
[Signature of Party One]
[Name of Party One]
[Signature of Party Two]
[Name of Party Two]

Form

Please complete the form below to create the Conflict Resolution Mediation Agreement Template. All fields must be filled out to ensure a clear and complete agreement. We provide examples to guide you through each step.

Conflict Resolution Mediation Agreement Template

1. Mediator Information


2. Disputing Parties Information





3. Mediation Details


4. Issues in Dispute

5. Mediation Process Description

6. Confidentiality Agreement

7. Responsibilities of Parties

8. Agreement to Mediate

9. Signatures and Acceptance

10. Declaration and Signatures





PDF


WORD

Printable

Conflict Resolution Mediation Agreement Template

Printable | Editable Form




Conflict Resolution Mediation Agreement Template