Mediation Agreement to Participate

Mediation Agreement to Participate — Form Fields

This legal template includes 16 fields. Agreement form for parties consenting to participate in mediation proceedings. Free to customize and use on ZenBuild.

• Party Name (text, required)
• Email (email, required)
• Phone Number (text, required)
• Attorney Name (if represented) (text, optional)
• Attorney Contact (text, optional)
• Opposing Party Name (text, required)
• Dispute Type (dropdown selection, required) — options: Commercial/Business, Employment, Real Estate, Family/Divorce, Construction, Personal Injury, Neighbor Dispute, Contract, Partnership Dissolution
• Case or Reference Number (text, optional)
• Mediator Name (text, required)
• Proposed Mediation Date (text, required)
• Mediation Format (dropdown selection, required) — options: In-Person, Virtual (Video), Hybrid, Telephone
• Agree to Good Faith Participation (multiple choice, required) — options: Yes
• Agree to Confidentiality (multiple choice, required) — options: Yes
• Understand Mediator Is Not a Judge (multiple choice, required) — options: Yes
• Understand Settlement Is Voluntary (multiple choice, required) — options: Yes
• Brief Description of Dispute (long text, required)