The New York Affidavit and Disclosure Statement of Mediator is a document used to inform the parties of a case that the mediator involved in the dispute is impartial and independent of the parties. The document is required by the New York State Unified Court System and must be signed by the mediator and filed with the court. It includes information about the mediator's qualifications, professional experience, and any financial or other conflicts of interests. The New York Affidavit and Disclosure Statement of Mediator is typically divided into four sections. The first section includes the mediator's name and contact information, as well as any educational and professional credentials. The second section includes information about the mediator's experience in mediation, any potential conflicts of interests, and any financial or other benefits the mediator may receive as a result of the mediation. The third section includes a statement of impartiality and independence from any of the parties and a statement that the mediator is not representing any of the parties. The fourth section requires the mediator to affirm that the information provided is true and accurate. There are two types of New York Affidavit and Disclosure Statement of Mediator: a standard statement and a supplemental statement. The standard statement is used for all mediators, while the supplemental statement is used for mediators who are affiliated with an organization or have a financial interest in the outcome of the dispute.