Establishing secure connection…Loading editor…Preparing document…

Mediation Response Agreement

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Mediation Response Agreement

This Mediation Response Agreement (the Agreement) is entered into as of , by and between Claimant Name: and Respondent Name: (each a Party and collectively the Parties).

RECITALS

WHEREAS, a dispute has arisen between the Parties concerning the matters described as: (the Dispute), associated with Case/Reference No.: ;

WHEREAS, the Parties have agreed to present the Dispute to mediation and to document certain terms of the Respondent's participation, positions, and procedural proposals in connection with the scheduled mediation; and

WHEREAS, the Parties intend by this Agreement to set forth their mutual understandings regarding the mediation process, confidentiality, settlement authority, and allocation of costs.

NOW, THEREFORE

In consideration of the mutual covenants contained herein and other good and valuable consideration, the Parties agree as follows:

1. DEFINITIONS

1.1 "Mediation" means the non‑binding process conducted by the Mediator identified below for the purpose of attempting to resolve the Dispute.

1.2 "Confidential Information" means all communications, proposals, settlement offers, documents, and materials exchanged in connection with the Mediation, except as otherwise provided in this Agreement.

2. MEDIATION RESPONSE

2.1 Respondent's Position: Respondent submits the following concise statement of its response to the Claimant's claims and the relief sought:

2.2 Claimant's Position (as provided): Claimant's description or statement in response:

3. MEDIATOR, DATE AND LOCATION

The Parties agree to engage the following mediator and to attend mediation on the date indicated below subject to the terms of this Agreement. Mediator Name:

Scheduled Mediation Date: . Location or Platform:

4. CONFIDENTIALITY

4.1 All communications, statements, offers, and materials created for or exchanged during Mediation constitute Confidential Information and shall be kept strictly confidential by the Parties and the Mediator. Confidential Information shall not be disclosed to any third party except with the prior written consent of the Party that disclosed such information or as required by law.

4.2 Notwithstanding the foregoing, Confidential Information does not include: (a) information that is or becomes public other than by breach of this Agreement, (b) information lawfully obtained from a third party not subject to confidentiality obligations, or (c) information required to be disclosed by court order or by statute, provided that the disclosing Party gives prompt written notice to the other Party to permit seeking a protective order.

5. AUTHORITY TO SETTLE

5.1 Each Party represents and warrants that the signatory of this Agreement has the requisite authority to commit the Party to participate in Mediation and, if applicable, to enter into a settlement on behalf of the Party.

5.2 Settlement Authority Confirmation: Claimant has full settlement authority: Yes No    Respondent has full settlement authority: Yes No

6. NO ADMISSION

Participation in Mediation and any documents generated or proposals made in connection with the Mediation are for settlement purposes only and shall not constitute and shall not be construed as an admission of liability, fault, or wrongdoing by any Party.

7. COSTS AND FEES

7.1 Unless otherwise agreed in writing, the Parties shall share mediation fees and administrative costs as follows:

8. SETTLEMENT AND RELEASE

8.1 If the Parties reach a settlement at Mediation, the terms of such settlement shall be reduced to a written settlement agreement and release, which shall control and supersede this Agreement only to the extent of any inconsistency with the settlement terms.

8.2 Proposed settlement amount, if any:

9. NOTICES

Notices shall be delivered by hand, overnight courier, or certified mail and shall be effective upon receipt.

10. REPRESENTATIONS AND WARRANTIES

Each Party represents and warrants that it has full corporate or personal authority to enter into this Agreement, that the execution and performance of this Agreement will not violate any other agreement or law, and that the information provided in connection with the Mediation is true and correct to the best of that Party's knowledge.

11. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the substantive law of the jurisdiction agreed by the Parties: , without regard to choice of law principles.

12. ENTIRE AGREEMENT; SEVERABILITY

12.1 This Agreement constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior agreements and understandings, oral or written, relating to Mediation of the Dispute.

12.2 If any provision of this Agreement is held to be invalid or unenforceable, such invalidity shall not affect the other provisions, which shall remain in full force and effect.

13. AMENDMENT; WAIVER; COUNTERPARTS

13.1 Any amendment to this Agreement must be in writing and signed by both Parties. No waiver of any term shall be effective unless in writing and signed by the Party granting the waiver.

13.2 This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

14. MISCELLANEOUS

The Parties agree to cooperate in good faith to schedule and prepare for Mediation and to provide information reasonably requested by the Mediator. Nothing in this Agreement shall restrict a Party's rights to seek provisional or injunctive relief from a court where necessary to preserve the status quo pending Mediation.

By signing below, each Party acknowledges that it has read this Agreement, that it understands its terms, and that it enters into this Agreement voluntarily and with the intention to be legally bound.

Claimant:

By:

Date:

Respondent:

By:

Date:

Enter text✕

What the Mediation Response Agreement Is

A Mediation Response Agreement is a written response that a party submits during or after mediation to record settlement terms, preserve positions, or document follow-up obligations. It can confirm offers, outline agreed next steps, allocate responsibilities for implementation, and set timelines for performance. The document may be used to create an enforceable contract if it includes mutual assent, consideration, and clear terms, or it can serve as a nonbinding record of discussion depending on the parties’ intent and the language used.

Why a Clear Mediation Response Agreement Matters

A concise, well-structured response reduces ambiguity about settlement terms and helps prevent later disputes or misinterpretation.

Why a Clear Mediation Response Agreement Matters

Who Typically Prepares and Signs This Agreement

The document is used by diverse participants; clarity about enforceability and signatures prevents confusion later in the dispute resolution process.

  • Claimants and defendants who reached partial or conditional settlement terms during mediation.
  • Attorneys who formalize negotiated terms into clear contractual language for clients.
  • Mediators or neutral facilitators documenting procedural agreements or timelines.

Common Signers and Their Roles

Party Representative

A named individual authorized by the party (corporate officer, agent, or counsel) who signs to bind that party. Include title and authority to ensure enforceability and confirm the signer's capacity.

Counsel Attestation

An attorney may sign to confirm the terms were negotiated in mediation and to certify that the client has authorized the agreement; this helps with later enforcement and procedural clarity.

Essential Security and Compliance Details

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Audit Trail: Timestamped events and signer IP
HIPAA: BAA required for PHI
ESIGN / UETA: Meets intent and retention tests
Access Controls: Two-factor or SSO available
Record Export: PDF/A and native document formats

Risks and Consequences of Errors

Unclear Terms: Creates breach disputes
Signature Errors: May void enforceability
Missing Authority: Agent lacked signing power
Late Filing: Procedural defaults possible
Confidentiality Breach: Mediation privilege lost
Tax Impacts: Incorrect reporting risks

Common Preparation Mistakes to Avoid

  • Using vague language like 'reasonable efforts' without concrete deadlines increases enforcement disputes and ambiguity.
  • Failing to identify the signer's authority can lead to rejected enforcement or claims the agreement is nonbinding.
  • Neglecting to state whether the agreement is binding or merely a memorandum of terms causes later litigation over intent.
  • Skipping confidentiality and privilege language can waive mediation protections in subsequent proceedings when not properly drafted.

Step-by-Step: Create a Usable Mediation Response Agreement

Follow these steps to capture negotiated terms clearly and reduce later disputes.

  • 01
    1. Identify Parties: List full legal names and capacities
  • 02
    2. Summarize Terms: State specific obligations and amounts
  • 03
    3. Set Deadlines: Use precise calendar dates
  • 04
    4. Sign and Date: All authorized signers must sign

How the Agreement Is Routed and Finalized

Typical document flow moves from draft to counsel review, party signatures, and distribution to stakeholders.

  • Draft: Mediator or counsel prepares initial draft
  • Review: Each party reviews with counsel
  • Sign: Authorized signers sign electronically or on paper
  • Distribute: Final copies provided to all parties

Key Sections to Include in a Professional Response

A robust Mediation Response Agreement organizes obligations, timelines, and enforcement language to minimize ambiguity.

Parties and Authority

Clearly name each party, their legal capacity, and the signer’s authority; include titles or corporate office to ensure an enforceable signature.

Recitals

Briefly summarize mediation context and which settlement discussions the document responds to, clarifying the connection to prior communications.

Terms and Consideration

List precise obligations, payment amounts, and any non-monetary consideration with measurable milestones or deliverables.

Timing and Conditions

Specify effective date, payment schedule, cure periods, and conditions precedent or subsequent that affect performance.

Binding vs Nonbinding Clause

State explicitly whether the agreement is intended to be binding and identify any elements reserved for further documentation.

Confidentiality and Privilege

Include mediation confidentiality language and carve-outs for required disclosures or court orders where appropriate.

Digital Workflow Settings for eSubmission

Configure these workflow settings when sending the agreement electronically to preserve security and auditability.

Field Configuration
Signer Authentication Email link, SMS code, or multi-factor authentication
Document Locking Enable locking after all signatures to prevent changes
Audit Trail Capture IP, timestamp, and signing events
Distribution Auto-send final PDF to all parties and counsel

Delivery Options and Technical Considerations

Align platform settings with legal standards for e-signatures and the mediation provider’s procedural rules before sending the document.

  • Integrations: Salesforce, NetSuite, Google Workspace supported
  • File Formats: PDF, DOCX, and export to PDF/A
  • Authentication: Email, SMS, KBA, or SSO

Typical Timelines and Response Deadlines

Mediation timelines vary; specify dates in the agreement rather than relative wording to avoid disputes.

Response Window:

Commonly 14–30 days to accept or counter settlement terms

Payment Due Date:

Set a firm calendar date for any monetary settlement

Performance Milestones:

List precise completion dates for nonpayment obligations

Cure Period:

Define specific days allowed to cure a breach

Documentation Completion:

State date for delivery of required exhibits or releases

eSignature Vendor Comparison for Mediation Documents

Comparing common feature criteria helps choose an eSignature provider that supports security, compliance, and workflow needs for mediation and settlement documents.

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 Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies Varies Varies

Frequently Asked Questions about Mediation Response Agreements

Answers to common questions about enforceability, signatures, and digital execution of mediation response agreements.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users