Workplace Mediation Intake Form

Workplace Mediation Intake Form — Form Fields

This hr template includes 9 fields. Capture initial details from parties requesting formal workplace mediation. Free to customize and use on ZenBuild.

• Your Full Name (text, required)
• Your Job Title (text, required)
• Department (text, required)
• Other Party's Name (text, required)
• Other Party's Department (text, required)
• Brief Description of the Dispute (long text, required)
• Date Issue First Arose (text, required)
• Have you attempted informal resolution? (multiple choice, required) — options: Yes, No
• What outcome are you hoping mediation will achieve? (long text, optional)