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Mediation Agreement

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Mediation Agreement

Mediation Agreement made on day of , 20 , between

, of
(Name of Mediator) (Street Address, City, County, State, Zip Code)

hereinafter called the Mediator, of

,
(Street Address, City, County, State, Zip Code) (Name of John Doe)

, and ,
(Street Address, City, County, State, Zip Code) (Name of John Smith)

;

Whereas, the Parties are involved in a dispute which they wish to submit to mediation; and

Whereas, Mediation is a structured problem solving process in which a neutral, impartial third person or persons assist the Parties to the dispute to reach a voluntary agreement to resolve the dispute; and

Whereas, the Mediator facilitates the negotiations, but does not impose his or her views of what the agreement should be.

Now, therefore, for and in consideration of the mutual covenants contained in this Agreement, and other good and valuable consideration, the parties agree as follows:

1. Conduct of Mediation. Mediation process is voluntary and nonbinding. Any Party may withdraw at any time by notifying the Mediator and the other Party or Parties in writing of its intent to withdraw. While participating in mediation, each Party agrees to make a good faith attempt to settle this dispute through mediation, to cooperate with the Mediator, and to be open, candid and complete in its efforts to resolve the dispute.

2. Designation of Mediator. The Parties have designated to mediate this dispute. A different Mediator or Mediators may be assigned if a Party advises the Mediator of circumstances which would cause reasonable doubt regarding the impartiality of the Mediator.

3. Compensation of Mediator. The Parties agree that the Mediator shall be compensated at a rate of $ per hour for mediation services. Mediator shall be paid a retainer for hours. The retainer shall be paid by the Parties who will each deposit $ with the Mediator as a retainer. The retainer will be deposited in the Mediator's escrow account and shall be withdrawn as earned.

4. Mediation Process. The Mediator will control the procedural aspects of the mediation. There will be no direct communication between the Parties or between their attorneys without the concurrence of the Mediator. The Mediator will be free to meet and communicate separately with each Party. The Mediator will decide when to hold joint or separate meetings with the Parties and shall, in consultation with the Parties, fix the time, place and agenda for each session. Efforts to reach a settlement will continue until:

A. A settlement is reached;

B. One of the Parties withdraws from the process; or

C. The Mediator concludes and informs the Parties that further efforts would not be useful.

5. Submission of Information. Each Party will submit to the Mediator any material and information as it deems necessary to familiarize the Mediator with the dispute. Submissions may be made in writing and orally. The Mediator may request any Party to provide clarification and additional information. The Mediator may request each Party, separately or at a joint meeting, to present its case informally to the Mediator. The mediation process will be confidential. The Parties and the Mediator will not disclose information regarding the process to third Parties, including, but not limited to, settlement terms or, in case of impasse, the reason for the impasse, unless the Parties otherwise agree.

6. Attorney Representation. Each Party may be represented by an attorney and other representatives, provided that at least one representative of each Party is authorized to negotiate a settlement of the dispute and, provided that that representative participates throughout the mediation process. If attorneys and principals are participating, the Mediator, after consultation with the participants, may conduct sessions with just the principals, just the attorneys, or both principals and attorneys present.

7. Disclaimer of Legal Service. Mediator will not provide legal advice or legal representation for any Party. All Parties are expected and encouraged to retain their own legal counsel and to withhold final approval of an agreement until they are advised by their counsel.

8. Expert Assistance. Mediator may obtain assistance and independent expert advice at the expense of the Parties. Experts shall be bound and protected by the same rules of confidentiality as those which apply to the Mediator and the Parties.

9. Court Proceedings. All Parties will refrain from court proceedings during the mediation process if they can do so without prejudicing their legal rights. If litigation is already pending between the Parties regarding the subject matter of the mediation, the Parties may agree to inform the court of the mediation process and request a stay of court proceedings. Insofar as possible, discovery will be suspended while mediation is ongoing.

10. Final Proposal. If the Parties should fail to develop mutually acceptable settlement terms, the Mediator may, before terminating the procedure, submit to the Parties a final settlement proposal which he or she considers equitable to all Parties. The Parties will carefully consider any such proposal, and at the request of the Mediator will discuss the proposal with him or her.

11. Settlement Agreement. If a settlement is reached, the Parties, or the Mediator if requested by the Parties, will draft a written settlement document incorporating all settlement terms. This draft will be reviewed by the Parties and their attorneys, and, if acceptable, formally executed.

12. Modification. Additional rules and procedures for the mediation may be negotiated and agreed upon by the Mediator and the Parties at any time during the mediation process.

13. Notices. Unless provided herein to the contrary, any notice provided for or concerning this Agreement shall be in writing and shall be deemed sufficiently given when sent by certified or registered mail if sent to the respective address of each party as set forth at the beginning of this Agreement.

14. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be deemed to be an original, but all of which together shall constitute but one and the same instrument.

15. Compliance with Laws. In performing under this Agreement, all applicable governmental laws, regulations, orders, and other rules of duly-constituted authority will be followed and complied with in all respects by both parties.

WITNESS our signatures as of the day and date first above stated.

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What a Mediation Agreement Is and When It Applies

A Mediation Agreement is a written contract that documents the terms under which parties agree to resolve a dispute through mediation. It typically identifies the parties, the mediator, the scope of issues, confidentiality obligations, procedures for scheduling and fees, and any settlement terms or binding agreement mechanisms. The document clarifies roles, timelines, and confidentiality protections and can include provisions for evidence, costs, and follow-up. In the United States, properly executed mediation agreements are generally enforceable and may be completed electronically in compliance with the ESIGN Act and state UETA laws.

Why a Clear Mediation Agreement Matters

A Mediation Agreement reduces uncertainty by documenting procedural rules, confidentiality, fees, and settlement authority. It preserves options for settlement, limits later disputes over process, and provides clear evidence of mutual intent — supporting enforceability under ESIGN and applicable state laws.

Why a Clear Mediation Agreement Matters

Who Typically Prepares and Signs a Mediation Agreement

Use it when parties, counsel, or mediators need documented process, fees, confidentiality, or settlement terms.

  • Parties to the dispute — plaintiffs, defendants, or multiple claimants and respondents.
  • Attorneys and legal representatives handling negotiation or settlement authority on a party's behalf.
  • Neutral mediators, mediation providers, or dispute resolution clinics administering process and fees.

The agreement aids enforceability and reduces procedural disputes while documenting who may settle, fee allocation, and confidentiality scope.

Core Elements to Include in a Professional Mediation Agreement

A professional Mediation Agreement typically sets out parties, scope, mediator duties, confidentiality, fees, timeline, settlement terms, and enforcement mechanisms with explicit signature blocks.

Parties

Identify each party by full legal name, role (claimant/respondent), business entity type if applicable, and provide primary contact, address, and representative counsel. Confirm who has authority to settle and sign.

Mediator

Name the mediator or mediation firm, list qualifications, hourly or flat fees, cancellation policy, and any confidentiality obligations binding the mediator. Specify dispute escalation or substitution procedures.

Scope

Define the subject matter and limits of mediation, issues included or excluded, whether past, present, or future claims are covered, and whether related counterclaims are within scope.

Confidentiality

Set confidentiality standard, exceptions (e.g., court orders, threats of harm), use of mediation communications, and whether settlement terms are confidential or may be filed. Reference applicable state confidentiality laws if necessary.

Fees

Describe mediator fees, allocation among parties, payment timing, travel and administrative costs, and procedures for fee disputes or fee-shifting if settlement includes cost recovery mechanism.

Signatures

Include signature blocks for all parties and their counsel, with printed names, titles, dates, and capacity statements. Specify whether electronic signatures are permitted under ESIGN/UETA and any required authentication.

Required Information and Fields at a Glance

Party Names: Full legal names exactly as on ID
Contact Info: Street address, city, state, ZIP
Mediator Details: Name, credentials, contact, fee terms
Effective Date: Enter as MM/DD/YYYY format
Fee Allocation: Specify who pays mediator fees
Signature Block: Signed and dated by authorized signers

Primary Risks and Consequences to Watch For

Enforceability Risk: Ambiguous terms may be unenforceable
Confidentiality Breach: Improper clauses can void confidentiality
Signing Authority: Unauthorized signer risks invalidation
Missed Deadlines: Delay can affect settlement rights
Tax Consequences: Settlements may trigger tax reporting
Notary Errors: Incorrect notarization can delay enforcement

Common Preparation Mistakes to Avoid

  • Failing to identify signatory authority or using informal names leads to disputes and may invalidate settlement or require costly corrective affidavits.
  • Leaving scope undefined or using ambiguous language about included claims can allow parties to reopen matters later and undermine finality.
  • Not specifying standard exceptions, such as mandatory reporting or court orders, can create confusion and inconsistent application of confidentiality.
  • Failing to state whether electronic signatures are accepted and what authentication is required slows execution and may challenge admissibility.

How to Complete and Execute a Mediation Agreement

Follow these steps to prepare, sign, and store a Mediation Agreement ensuring clarity on parties, scope, fees, confidentiality, and signatures.

  • 01
    Prepare Draft: Gather facts, parties' names, dispute description, and proposed terms.
  • 02
    Negotiate Terms: Discuss scope, confidentiality, mediator fees, and settlement authority.
  • 03
    Execute Agreement: All parties sign, date, and include printed names and titles.
  • 04
    Store Copies: Provide executed copies to parties, mediator, and counsel; retain originals.

Where to Send, File, and Store the Executed Agreement

Common routing and submission options for a completed Mediation Agreement, including service to parties, court filing when required, and storage with counsel.

  • To Parties: Email or deliver signed copies to all parties and their counsel.
  • Mediator: Send original or certified copy to the mediator for retention.
  • Court Filing: File only if ordered; courts may require redacted or sealed terms.
  • Counsel Storage: Counsel should store executed originals in client file and case management system.

How to Configure an Online Mediation Agreement Workflow

Typical digital workflow settings used when preparing and sending a Mediation Agreement for electronic completion and signature.

Field name and configuration details Configuration examples for digital workflows
Signer authentication method and strength Email link, SMS code, or stronger KBA
Document field types and conditional logic Signature, initials, dates, conditional clauses
Bulk send and template reuse settings Enable templates, set roles, schedule bulk sends
Reminder and expiration schedule options Set reminders, expiration dates, and escalation
Signature types and audit trail retention Allow e-sign, record audit trail, store PDF

Technical Requirements for Electronic Signing and Submission

Platforms should support PDF, DOCX, mobile signing, authentication, audit trail, and secure storage compliant with ESIGN, UETA, HIPAA when needed.

  • File Formats: PDF, DOCX, PDF/A supported
  • Authentication: Email, SMS, KBA, or advanced options
  • Integrations: Connects with CRM, cloud storage, and NetSuite

Timing, Execution Deadlines, and Filing Considerations

Key timing and deadlines for negotiating, signing, and implementing a Mediation Agreement, including execution, payment, and any required court filings.

Effective Date:

Date the agreement becomes operative; often same day signed unless specified.

Execution Window:

Set a deadline for signature completion, e.g., 14–30 days post-agreement.

Mediator Scheduling:

Include dates for sessions or a timetable for arranging mediation within X days.

Payment Terms:

State when mediator fees are due and acceptable payment methods.

Court Filings:

If settlement will be filed, state who files and any redaction obligations.

Practical Tips to Ensure Accurate and Efficient Completion

Practical tips to produce a clear, enforceable Mediation Agreement that minimizes disputes and speeds execution across parties and counsel.

Use clear, unambiguous language
Avoid legalese and define terms. Specify which claims are covered, the mediator's fees and payment schedule, confidentiality exceptions, and the method for signing. Clear allocation of authority to settle prevents later challenges and reduces post-mediation litigation risk.
Specify electronic signature acceptance and method
Explicitly permit electronic signatures and state acceptable authentication (email link, SMS, or KBA). For consumer-facing agreements, include ESIGN consumer disclosure per 15 U.S.C. §7001(c) and allow withdrawal procedures to ensure consent and enforceability.
Document settlement mechanics precisely
Detail settlement payment timing, escrow instructions, release language, tax responsibility, and consequences of nonpayment. Attach exhibits for payment schedules or escrow accounts to make enforcement straightforward without further litigation.
Coordinate counsel and notary needs early
Confirm signatory authority, determine whether notarization or witnesses are required, and arrange RON or in-person notarization if necessary. Early coordination avoids execution delays and unwanted court challenges to enforceability.

Representative Use Cases

Real-world examples showing how a Mediation Agreement clarifies process, confidentiality, fees, and settlement mechanics across industries.

Commercial Contract Dispute

Two businesses in a contract dispute drafted a mediation agreement to set scope, mediator fees, and confidentiality before starting sessions.

  • Mediator costs split; sessions scheduled within 30 days.
  • The signed agreement prevented later arguments about scope, preserved confidentiality for settlement talks, and allowed the parties to convert the mediated settlement into a binding release enforceable in court, avoiding prolonged litigation and reducing legal expenses.

Medical Malpractice Mediation

A hospital and former patient used a mediation agreement that included HIPAA protections and a BAA before sharing medical records with the mediator.

  • PHI handled under HIPAA, BAA executed.
  • This arrangement allowed focused settlement talks without public disclosure of sensitive records, ensured legal compliance with 45 CFR §164.530(j) retention rules, and specified payment and release mechanics to expedite closure while protecting patient privacy.

eSignature Vendor Pricing and Key Capability Snapshot

Comparison of eSignature vendor pricing and key features relevant to executing Mediation Agreements, with signNow listed first per platform data.

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 plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes (no cap) Yes (100 env/user/yr limit) Varies by plan Varies by plan Varies by plan
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions about Mediation Agreements

Answers to common questions about executing, validating, and storing Mediation Agreements, including e-sign legality, notarization, confidentiality, and amendments.


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