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Mediation Services Fee Agreement

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Mediation Services Fee Agreement

This Mediation Services Fee Agreement ("Agreement") is made effective as of by and between Mediator Name: (referred to herein as "Mediator") and Client Name: (referred to herein as "Client").

RECITALS

WHEREAS, the Client seeks the assistance of the Mediator to provide mediation services to resolve the dispute described as: ; and

WHEREAS, the Mediator represents that the Mediator is qualified and experienced to provide non‑binding mediation services and is willing to provide such services on the terms and conditions set forth in this Agreement; and

WHEREAS, the parties wish to set forth their agreement regarding fees, costs, scheduling, confidentiality and related terms governing the mediation;

NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, and other good and valuable consideration, the sufficiency of which is acknowledged, the parties agree as follows:

1. SCOPE OF SERVICES

1.1 Services. The Mediator shall provide mediation services consisting of facilitation of negotiation between the parties, joint sessions, separate caucuses if requested, preparation of case management or settlement materials, and such other activities reasonably related to the mediation as the parties and Mediator agree. Specific mediation sessions are scheduled for: at Location: .

1.2 Supplemental Work. Any work outside of scheduled mediation sessions (including drafting of settlement documents, extended research, or extended conferences) will be billed as described in Section 2 unless otherwise agreed in writing.

2. FEES AND PAYMENT

2.1 Fee Structure. The Client agrees to pay the Mediator in accordance with the following selected fee structure (select applicable boxes and complete amount fields):

Hourly fee at $ per hour (billed in increments of 1/4 hour).

Flat fee for mediation services of $ (covers up to hours; additional time billed per hourly rate).

2.2 Retainer. The Client shall pay a retainer of $ prior to scheduling. The retainer will be applied to final invoices. Retainer is refundable non‑refundable. If refundable, unearned retainer amounts will be returned within days after final accounting.

2.3 Invoicing and Payment Terms. The Mediator will invoice the Client on a basis. Payment is due within days of invoice receipt. Late payments are subject to interest at per month and reimbursement of reasonable collection costs.

3. CANCELLATION, RESCHEDULING, AND NO-SHOW

3.1 Cancellation Notice. Client must provide no less than days' notice to cancel or reschedule. Failure to provide required notice may result in a cancellation fee as set forth below.

3.2 Cancellation Fee. If the Client cancels with less than the required notice, the Client shall pay a cancellation fee of $ or the amount of the scheduled session fee, whichever is greater.

3.3 No-Show. A party who fails to appear at a scheduled session without prior notice shall be responsible for a no‑show fee of $ plus any incremental hourly charges for time reserved.

4. EXPENSES AND COSTS

4.1 Reimbursable Expenses. Client shall reimburse the Mediator for reasonable expenses incurred in connection with the mediation, including but not limited to travel, lodging, copying, postage, and administrative costs. Estimated expenses for the scheduled mediation are $. Expenses in excess of $ require prior approval.

5. CONFIDENTIALITY AND PRIVILEGE

5.1 Confidentiality. Except as otherwise required by law, the Mediator shall treat communications made during the mediation as confidential. The parties understand and agree that statements made during mediation are privileged and shall not be used as evidence in any subsequent proceeding, to the extent permitted by applicable law.

5.2 Exceptions. Confidentiality does not apply to: (a) threats of violence or admission of intent to commit a crime; (b) agreements reached and signed by the parties; and (c) other disclosures required by law. The Mediator may disclose information if compelled by a court order, in which case the Mediator will notify the parties promptly, unless prohibited.

6. RECORDS, ACCOUNTING, AND REFUNDS

6.1 Accounting. The Mediator shall maintain contemporaneous records of time and expenses and provide a final accounting to the Client upon request or at the conclusion of the mediation.

6.2 Refunds. Any refund due after final accounting shall be issued within days of the final accounting, subject to offset for charges properly incurred by the Mediator prior to termination.

7. TERMINATION

7.1 Termination by Parties. Either party may terminate the mediation at any time by written notice to the other parties and the Mediator. Parties remain liable for fees and expenses incurred through the date of termination.

7.2 Termination by Mediator. The Mediator may withdraw or terminate services for good cause, including nonpayment, inability to mediate impartially, or disruptive conduct. In the event of withdrawal, the Mediator shall provide reasonable notice and accounting for fees and expenses.

8. LIMITATION OF LIABILITY; INDEMNITY

8.1 Limitation of Liability. Except for willful misconduct or gross negligence, the Mediator's liability arising from or relating to the mediation and these fees shall be limited to direct damages not to exceed the total fees actually paid by the Client to the Mediator under this Agreement.

8.2 Indemnity. The Client agrees to indemnify and hold the Mediator harmless from and against any third‑party claims arising from the Client's breach of this Agreement, including reasonable attorneys' fees and costs associated with collection of unpaid fees, except to the extent caused by the Mediator's gross negligence or willful misconduct.

9. NOTICES

Notices shall be in writing and delivered by personal delivery, certified mail return receipt requested, or overnight courier to the contact information provided above and shall be deemed received upon delivery or upon refusal of delivery.

10. GOVERNING LAW; VENUE

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its choice‑of‑law principles. Venue for any action to enforce payment obligations under this Agreement shall lie in the state or federal courts located in the county of .

11. ENTIRE AGREEMENT; AMENDMENT; WAIVER; SEVERABILITY

11.1 Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral.

11.2 Amendment. This Agreement may be amended only by a written instrument signed by both parties.

11.3 Waiver. No waiver by any party of any breach or default shall be deemed a waiver of any subsequent breach or default.

11.4 Severability. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

12. COUNTERPARTS; ELECTRONIC SIGNATURES

This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument. Signatures transmitted by electronic means (including PDF or image) shall be binding and have the same force and effect as original signatures.

13. ADDITIONAL TERMS

By signing below, the parties acknowledge that they have read, understand, and agree to be bound by the terms of this Mediation Services Fee Agreement.

Mediator Printed Name:

By:

Date:

Client Printed Name:

By:

Date:

Enter text✕

What a Mediation Services Fee Agreement Is and Why It Matters

A Mediation Services Fee Agreement is a written contract that documents the fees, payment terms, scope of mediation services, and responsibilities between a mediator (or mediation provider) and the parties using mediation. It clarifies hourly or flat rates, retainer requirements, cancellation and rescheduling terms, travel or administrative charges, and whether the mediator provides invoiceable services such as document review or settlement drafting. The agreement also typically addresses confidentiality, governing law, dispute escalation, and how fees will be allocated among participants so parties understand financial obligations before mediation begins.

Why a Clear Fee Agreement Protects All Parties

A written fee agreement reduces disputes about payment, sets expectations about services and timing, and preserves the mediator’s neutrality by clarifying billing arrangements.

Why a Clear Fee Agreement Protects All Parties

Who Typically Prepares and Signs This Agreement

Mediators, mediation centers, law firms, insurers, and disputants commonly prepare or sign a mediation services fee agreement before scheduling sessions.

  • Private mediators and solo practitioners — independent professionals contracting directly with parties for hourly or flat-rate mediation services.
  • Mediation centers and ADR providers — organizations that centralize scheduling, collect retainers, and issue standardized invoices.
  • Corporate legal or claims teams — in-house counsel or insurers arranging mediation and allocating costs among claimants or departments.

Parties should ensure the person with authority to bind each organization signs the agreement and that the document names the billing contact and payment method.

Core Elements to Include in a Professional Fee Agreement

A comprehensive agreement combines fee mechanics, scope, logistics, confidentiality, and remedies so billing and obligations are unambiguous.

Fee Structure

Specify flat fees, hourly rates, minimum charges, and whether co-mediator time or preparatory work is billable, including rates for travel or after-hours sessions.

Retainer

State retainer amount, whether it is refundable or applied to final billing, the timing of replenishment, and how unused retainer funds are returned after case close.

Payment Terms

Define payment window, accepted methods (check, ACH, card), late fees, deposit forfeiture for cancellations, and invoicing cadence (per session or monthly).

Scope of Services

Describe mediation activities covered (pre-session calls, joint sessions, caucuses, settlement drafting) and explicitly list services that incur extra fees.

Confidentiality

Include confidentiality obligations, whether settlement communications are protected, and any carve-outs required by law or court order.

Governing Law

Identify the state law governing interpretation and enforcement and provide dispute-resolution mechanisms for fee collection or enforcement questions.

Step-by-Step: How to Complete the Agreement

Complete the document in the order below to reduce errors and confirm parties’ understanding of fees and logistics.

  • 01
    Identify Parties: Enter full legal names and billing contacts for each party.
  • 02
    Specify Fees: Record rates, retainer amount, and billing increment (e.g., 15-minute units).
  • 03
    Add Logistics: Include dates, session length, location or virtual platform, and travel fees if applicable.
  • 04
    Sign and Date: All parties sign and date; ensure signatory authority is documented.

Customizing and Executing the Agreement Online

Configure an online workflow to collect fields, attach exhibits, and deliver signed copies automatically.

Field Configuration
Signer Order Set sequential or parallel execution depending on whether mediator or parties sign first.
Authentication Level Choose email link, SMS code, or stronger methods for high-value matters.
Conditional Fields Use conditional logic for optional services, travel fees, or co-mediator fees.
Delivery Preferences Auto-send final PDF with audit trail to all signers on completion.

Where to Send and How the Signed Agreement Is Routed

Specify routing and record distribution so billing and administration proceed without delay.

  • Primary Recipient: Billing contact receives invoices and signed agreement copy.
  • Mediator Copy: Mediator retains executed copy for file and tax records.
  • Counsel Copies: Attorneys for parties may receive copies if authorized.
  • Central Repository: Upload final PDF to case management or document storage.

Digital Signing and eSubmission Considerations

Choose a secure eSignature workflow that meets authentication and retention needs for contractual and billing records.

  • File Formats: PDF or DOCX are standard for signed records.
  • Integrations: Connectors to Google Workspace, Microsoft 365, or NetSuite simplify storage and invoicing.
  • Compliance: Use platforms with ESIGN/UETA compliance and audit trails.

Ensure the eSignature provider supports the required authentication level, produces an audit trail, and preserves a tamper-evident copy for retention obligations.

Timing, Deadlines, and Typical Processing Expectations

Understand scheduling, retainer timing, cancellation windows, and invoicing cadence to avoid disputes and additional fees.

Retainer Due Date:

Pay retainer before the first session or as specified in the agreement.

Cancellation Deadline:

Commonly 48–72 hours for full refund of session fee; late cancellations may incur charges.

Invoice Terms:

Net 15 or Net 30 are common; specify late fee percentages if allowed by law.

Replenishment Timing:

Require retainer top-up within specified days after depletion to continue services.

Record Delivery:

Signed agreement and invoice copies usually delivered immediately on completion.

eSignature Pricing Comparison for Executing Fee Agreements

Compare common vendor starting prices and feature signals relevant to executing and retaining mediation fee agreements; signNow is listed first per sourcing guidelines.

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 Yes, 7-day trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Real-World Examples of Fee Agreements in Use

Below are brief examples showing how organizations document fees and workflow in mediation engagements.

Optica Ventures (COO)

The company standardized a flat-rate mediation retainer and included travel fees.

  • They required retainer replenishment when depleted.
  • After standardization, administrative disputes declined and invoices were processed faster because billing contacts and schedules were prepopulated in the case management system.

Fertility Centers of Illinois (Founder)

The center used a templated fee agreement with HIPAA language and prepaid session bundles.

  • Patients paid in advance for bundled sessions.
  • The standardized approach reduced billing inquiries and preserved confidentiality while ensuring timely payment for mediator services.

Common Preparation Errors to Avoid

  • Leaving the fee rate vague or listing only 'reasonable' charges, which invites dispute and complicates collection.
  • Failing to identify the authorized signatory or billing contact, causing delays when invoices are rejected by corporate payers.
  • Omitting retainer application rules or replenishment timing, which can interrupt scheduled mediation sessions for nonpayment.
  • Using inconsistent party names across exhibits, retainer receipts, and invoices, which hampers enforceability and tax reporting.

Consequences of Inaccurate or Missing Fee Terms

Collection Risk: Delayed or lost payment due to ambiguous billing instructions
Dispute Exposure: Increased chance of disputes over services or perceived non-performance
Regulatory Risk: HIPAA violations when PHI protections are omitted
Tax Complications: Incorrect payee names cause IRS reporting errors and backup withholding
Operational Delay: Session postponement when retainer requirements are unclear
Reputational Harm: Client dissatisfaction from surprise fees or inadequate disclosures

Practical Tips for Accurate and Efficient Completion

Adopt clear templates and consistent workflows to reduce errors and speed execution.

Use a Standard Template
Maintain a single, reviewed template that includes fee schedules, retainer rules, and signature blocks so every engagement follows the same financial terms and compliance checks.
Collect Retainers Upfront
Require payment before scheduling sessions to reduce no-shows and ensure the mediator is compensated for reserved time.
Document Change Orders
Record any fee adjustments or added services in a written amendment or email confirmation attached to the main agreement to avoid later disputes.
Keep Audit Copies
Store the fully executed PDF with an audit trail and any payment receipts in a central repository for at least the minimum retention period.

Frequently Asked Questions and Troubleshooting

Answers to common questions about signing, payment disputes, and digital execution of mediation fee agreements.


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