Get Mediation Intake Form

Filling out the Mediation Intake Form online is an essential step in initiating the mediation process. This guide provides clear and supportive instructions to help you navigate the form effectively.

Follow the steps to successfully complete the Mediation Intake Form

1. Click the ‘Get Form’ button to access the Mediation Intake Form. Ensure that you have a stable internet connection to facilitate a smooth experience.
2. Begin by entering the date of your intake at the designated field. This information helps establish a timeline for your case.
3. In the next section, provide the name of the person who referred you, along with the court file number and the status of your file. These details will assist in correlating your information with existing records.
4. Fill in your personal details, including your name, age, and contact information. Make sure to include your email address and indicate whether it is acceptable to contact you via email.
5. State your employment details, including your employer, job title, and annual income. You will also need to specify if it is okay to contact you at your workplace.
6. Indicate your first language to ensure clear communication throughout the mediation process.
7. Enter important dates regarding your relationship, such as the date of marriage or cohabitation and the date of separation.
8. Provide the name of your lawyer, as well as information about the other party involved, including their name, age, employer, and annual income.
9. Answer whether you have an interest in reconciliation with the other party and indicate if there are any legal barriers preventing direct communication.
10. Describe the decision to end the relationship and share a positive aspect about the other party to promote a constructive mediation atmosphere.
11. Provide a brief history of your relationship, focusing on important milestones and contexts that may impact mediation.
12. List any children from the relationship with their names, ages, and current living arrangements. Include any children from previous relationships in a similar manner.
13. Outline the issues you wish to discuss during mediation, providing a brief explanation of why each is significant to you.
14. Disclose any concerns regarding being in the same room with the former partner and identify perceived obstacles to reaching an agreement.
15. Indicate reasons for the separation by checking the boxes that apply to your situation.
16. Mention if there is any police or Children's Aid Society file relevant to your case.
17. Note any disabilities that may be pertinent for the mediator to know.
18. Lastly, utilize the open field to include any additional information you feel is important.
19. Once all sections are completed, ensure your information is accurate and save your changes. You can then download, print, or share the completed form as required.

Complete your Mediation Intake Form online today to begin your mediation journey.