Mediation Consent Form

At the beginning of the joint meeting, each participant is asked to sign a consent form. Guidelines for communication are agreed upon and are included in this form.

Mediation Agreement

If agreement is reached, participants will normally complete and sign a mediation agreement. This form is not legally binding but is intended for the participants’ personal reference in remembering the key points of their agreement.

The terms of such an agreement vary depending on the situation. Often, however, they set out guidelines for how the participants will communicate respectfully with one another in future. Also included may be commitments to taking specific actions that will help to heal the relationship.

Mediation Report

Employees involved in mediation require assurance that confidentiality will be maintained. If they believe that the content of their sessions may be relayed to third parties, they are unlikely to participate openly and fully in the process.

Often, however, employers request a progress report to determine if further intervention is needed. If this is the case, participants should be advised by the employer at the beginning of the process. It is recommended that the content of any mediation report be limited to answering the following general questions:

1. Did both parties attend the meeting and participate in the discussion?
2. Was a solution agreed upon?
3. Are additional meetings required?
4. Is there anything the employer can do to facilitate the agreed-upon solution?

During their sessions, participants will sometimes agree that certain information needs to be shared with the employer and request that the mediator convey these items. These may include questions about role clarity, work schedules, division of workload or other factors affecting the working relationship.