Parties
Full legal names and capacities, with entity registration numbers for businesses when applicable.
A clear waiver reduces uncertainty about admissibility, confidentiality, and enforceability of mediated agreements, protecting both parties and the mediator. It streamlines the process, documents consent to specific procedures, and records each party’s intent to proceed under the stated terms.
The document is used by individuals and organizations preparing for mediation who need a written record of agreed procedural rules and limits.
Use this waiver when parties want to document consent to confidentiality, scope of settlement authority, or the use of electronic signatures and records.
An individual or organization directly involved in the dispute. The Lead Party should supply full legal name, capacity (individual, officer, authorized agent), and confirm authority to bind the represented entity in settlement.
The mediator or mediation service signs to acknowledge receipt and the agreed process. The mediator’s signature records acceptance of confidentiality terms and any limits on record disclosure.
Full legal names and capacities, with entity registration numbers for businesses when applicable.
Clear description of disputes subject to mediation and what is excluded from the waiver.
Specific limits on use of statements, documents, and mediator communications with permitted exceptions.
Representation that signer has authority to negotiate or bind the party to settlement terms.
Signature blocks for each party, with date and printed name, and space for witness or notary if required.
Explicit consent language for electronic signatures, records, and service, consistent with ESIGN/UETA.
Provide waiver at least 72 hours before mediation when possible to allow review.
Sign and date on the day of agreement to record intent clearly.
If waived rights affect court proceedings, file accompanying papers when submitting settlement to the court.
Retention begins on execution date for records and audit trails.
Allow a reasonable review period, typically 3–14 days for counsel to confirm terms.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | Varies by plan | Varies by plan |
| Envelope Cap | No cap | 100 envelopes/user/year | Varies by plan | Varies by plan | Varies by plan |
| Field | Configuration |
|---|---|
| Signature Placement | Assign required signature and date fields for each signer |
| Authentication | Select email, SMS, or stronger methods like KBA |
| Conditional Fields | Show witness or notary fields when required |
| Notifications | Set reminders and completion emails for participants |
Choose a platform that supports required authentication, file formats, and integrations with your case management systems.
Optica simplified its intake process for mediation forms to improve client experience.
A real estate firm moved waivers online to avoid in-person signings.
Waiver language finalized and reviewed by counsel.
All signers sign and date the waiver.
Provide signed copies to mediator and counsel.
Store signed document and audit trail per retention policy.