Get Mediation Intake Form

Filling out the Mediation Intake Form online is a straightforward process designed to facilitate conflict resolution effectively. This guide will provide you with detailed steps to ensure you complete the form accurately and comprehensively.

Follow the steps to fill out the Mediation Intake Form online.

1. Press the ‘Get Form’ button to access and open the Mediation Intake Form in your online editor.
2. Begin by entering the mediation case number and the date in the specified fields at the top of the form.
3. For each disputant, fill in the necessary information: provide names, select gender by checking the appropriate box, and input age and grade.
4. Next, indicate the race of each disputant by checking the corresponding box. If the race falls outside the provided options, write it in the 'Other' section.
5. Identify who brought the conflict to mediation by checking the relevant box next to either Disputant A or Disputant B.
6. For the 'Referred by' section, select the individual or group who referred the case by checking the appropriate box.
7. Indicate the type of conflict from the choices provided by checking one or more relevant options based on the situation.
8. In the 'Briefly describe the conflict' section, write a clear and concise description of the conflict at hand, ensuring you capture all necessary details.
9. Leave the 'Mediators' section blank for completion by assigned mediators.
10. Fill in the mediation date, time, and location in the designated fields.
11. Specify whether the conflict was resolved by checking 'Yes' or 'No'.
12. Have each disputant agree to their terms in the appropriate sections, ensuring they write their acknowledgment and signatures.
13. Finally, complete the peer mediator signatures section and select the appropriate follow-up status by checking one of the options.
14. After filling out the form, save your changes, and you can also download, print, or share the completed form as necessary.

Complete your Mediation Intake Form online today to streamline your mediation process.