Mediation Agreement
MEDIATION AGREEMENT
This Mediation Agreement (the "Agreement") is entered into as of [Effective Date] (the "Effective Date"), by and between the parties identified below and the appointed Mediator, who collectively agree to engage in mediation to resolve the dispute described herein under the terms and conditions set forth in this Agreement.
1. PARTIES.
[First Party Name], with a mailing address at [First Party Address], [First Party City], [First Party State] [First Party ZIP], telephone [First Party Phone], email [First Party Email] (hereinafter referred to as the "First Party");
AND
[Second Party Name], with a mailing address at [Second Party Address], [Second Party City], [Second Party State] [Second Party ZIP], telephone [Second Party Phone], email [Second Party Email] (hereinafter referred to as the "Second Party").
The First Party and Second Party may be referred to individually as a "Party" and collectively as the "Parties."
2. APPOINTMENT OF MEDIATOR.
The Parties hereby appoint [Mediator Name] ([Mediator Credentials]) of [Mediator Firm], with offices at [Mediator Address], telephone [Mediator Phone], email [Mediator Email], as the neutral Mediator (the "Mediator") to facilitate the resolution of the dispute described below.
The Mediator confirms acceptance of this appointment and agrees to conduct the mediation in an impartial, neutral, and professional manner. The Mediator shall have no authority to impose a settlement upon the Parties and shall serve solely as a facilitator of negotiations.
3. RECITALS AND DESCRIPTION OF DISPUTE.
WHEREAS, the Parties are involved in a [Nature of Dispute] described as follows: [Dispute Description] (the "Dispute");
WHEREAS, the Parties desire to resolve the Dispute amicably through mediation, recognizing that mediation offers a confidential, cost-effective, and expedient alternative to litigation or arbitration;
WHEREAS, the Parties acknowledge that the Mediator is a neutral third party who will facilitate, but not dictate, the resolution of the Dispute;
NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties and the Mediator agree as follows:
4. MEDIATION PROCESS AND RULES.
The mediation session shall be held on [Mediation Date] at [Mediation Time], at [Mediation Venue]. The mediation is expected to last [Mediation Duration].
The Mediator shall conduct the mediation in accordance with generally accepted mediation practices and, to the extent applicable, the standards set forth by the Uniform Mediation Act (UMA). The Mediator may hold joint sessions with both Parties and separate private caucuses with each Party as deemed appropriate. Each Party shall have the opportunity to present its position, relevant facts, and supporting documentation.
The mediation process is voluntary in nature. Either Party or the Mediator may terminate the mediation at any time if, in their judgment, further mediation efforts would not be productive.
5. COSTS AND FEES.
The Mediator's fee for the mediation session is [Mediator Fee Amount]. The Mediator's fee shall be [Fee Split]. The cost of the mediation venue shall be [Venue Costs Paid By].
Each Party shall bear its own attorney's fees, travel expenses, and costs of preparation for the mediation. Payment of the Mediator's fee shall be made in full prior to the commencement of the mediation session, unless the Mediator agrees otherwise in writing.
If the mediation extends beyond the originally scheduled duration, the Parties shall be responsible for any additional fees at the Mediator's standard hourly or daily rate, allocated in the same proportion as the original fee.
6. LIMITATION OF LIABILITY.
The Mediator shall not be liable to either Party or to any third party for any act or omission in connection with the mediation, except in cases of willful misconduct or gross negligence. The Parties agree that the Mediator is acting as a neutral facilitator and not as an attorney, agent, or representative of either Party.
The Parties acknowledge that the Mediator does not provide legal advice and that each Party has been advised to consult with independent legal counsel before, during, and after the mediation process.
7. TERMINATION OF MEDIATION.
The mediation may be terminated at any time by: (a) mutual written agreement of the Parties; (b) a written declaration by the Mediator that, in the Mediator's professional judgment, further mediation efforts are unlikely to result in a resolution; or (c) a written notice from either Party to the Mediator and the other Party stating the Party's decision to withdraw from the mediation.
Termination of the mediation shall not affect the enforceability of the confidentiality, limitation of liability, or governing law provisions of this Agreement, which shall survive termination.
8. GOVERNING LAW.
This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of [Governing Law State], without regard to its conflict of laws principles. Any legal action or proceeding arising out of or relating to this Agreement shall be brought exclusively in the state or federal courts located in the State of [Governing Law State], and each Party hereby irrevocably consents to the personal jurisdiction and venue of such courts.
9. ENTIRE AGREEMENT.
This Agreement constitutes the entire agreement between the Parties and the Mediator with respect to the mediation of the Dispute and supersedes all prior and contemporaneous negotiations, representations, and understandings, whether oral or written, relating to the subject matter hereof. This Agreement may not be amended or modified except by a written instrument signed by all Parties and the Mediator.
10. SEVERABILITY.
If any provision of this Agreement is held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect. The invalid or unenforceable provision shall be modified to the minimum extent necessary to make it valid and enforceable while preserving the original intent of the Parties.
IN WITNESS WHEREOF, the Parties and the Mediator have executed this Mediation Agreement as of the Effective Date first written above, each intending to be legally bound hereby.
FIRST PARTY:
Name: [First Party Name]
Signature: ____________________________
Date: [First Party Sign Date]
SECOND PARTY:
Name: [Second Party Name]
Signature: ____________________________
Date: [Second Party Sign Date]
MEDIATOR:
Name: [Mediator Name]
Signature: ____________________________
Date: [Mediator Sign Date]
Party 1
________________
Signature
Date: ________________
Party 2
________________
Signature
Date: ________________
Mediator
________________
Signature
Date: ________________
What Is a Mediation Agreement?
A Mediation Agreement in the United States sets out the rights, duties and consideration binding the parties to it.
The mediation privilege established by the Uniform Mediation Act is central to effective US mediation practice. UMA Section 4 creates a privilege preventing parties, mediators, and all mediation participants from disclosing mediation communications in any court, administrative agency, or arbitral proceeding. This privilege is broader than settlement communication protections under Federal Rule of Evidence 408 — which covers only settlement offers and their surrounding statements — because the UMA privilege extends to all communications made in connection with mediation, including factual admissions, expert positions, and document productions made solely for mediation purposes. California, the largest US economy by GDP, has enacted its own mediation confidentiality provisions under California Evidence Code Sections 1115-1128, which are more protective in some respects than the UMA.
American Bar Association Model Standards of Conduct for Mediators — jointly adopted by the ABA, the Association for Conflict Resolution (ACR), and the American Arbitration Association (AAA) in 2005 — establish the ethical framework governing US mediators. Standard II requires mediator impartiality; Standard V requires mediator competence; Standard VI prohibits conflicts of interest unless all parties consent after full disclosure. The Mediation Agreement should address the mediator's ABA Model Standards compliance obligations and the disclosure process for any prior relationships with the parties.
US court-connected mediation operates under the Alternative Dispute Resolution Act of 1998 (28 U.S.C. §§ 651-658), which requires each federal district court to authorize at least one ADR process and offer litigants an opportunity to use ADR at an early stage of proceedings. Federal courts in California (Northern District Local Rule 16-8), New York (S.D.N.Y. Civil Case Management Plan), Texas (N.D. Tex. Misc. Order 62), and Florida (M.D. Fla. Local Rule 9.01) all maintain court-annexed mediation programs with credentialed mediator panels, fee schedules, and case management procedures. State court mandatory mediation programs add a further layer: Florida requires mediation before trial in all civil cases under Florida Statute Section 44.102; Texas requires it in all civil suits under Texas Civil Practice and Remedies Code Section 154.002; and California courts routinely order mediation under California Code of Civil Procedure Section 1775.3.
When Do You Need a Mediation Agreement?
A United States Mediation Agreement is needed whenever two or more parties decide — voluntarily or pursuant to court order or contractual obligation — to attempt to resolve a dispute through mediation under applicable state law and the ABA Model Standards of Conduct for Mediators.
Business partnership and commercial contract disputes are among the most frequent mediation contexts in the United States. When partners in a Delaware LLC, Texas partnership, or California corporation disagree over profit distributions, management authority, breach of fiduciary duty, or contract performance, a Mediation Agreement establishes the procedural framework before the mediation session convenes — specifying the mediator's qualifications, the scope of issues to be mediated, cost allocation, and the confidentiality protocol consistent with the UMA or applicable state statute.
Employment disputes generate the largest volume of US mediations by case count. The Equal Employment Opportunity Commission (EEOC) operates the federal government's largest voluntary mediation program, resolving over 7,000 workplace discrimination charges annually under Title VII of the Civil Rights Act of 1964 (42 U.S.C. § 2000e), the Age Discrimination in Employment Act of 1967 (29 U.S.C. § 621), and the Americans with Disabilities Act of 1990 (42 U.S.C. § 12101). State agencies — including the California Department of Fair Employment and Housing (DFEH), the New York State Division of Human Rights, and the Texas Workforce Commission Civil Rights Division — operate parallel mediation programs. A Mediation Agreement for employment disputes must address the scope of claims covered (including potential FLSA (29 U.S.C. § 201) wage-and-hour claims and WARN Act (29 U.S.C. § 2101) violations), confidentiality of personnel records produced in mediation, and the authority of the parties' representatives to bind their principals.
Real estate disputes — including construction defect claims under state contractor licensing laws, landlord-tenant disputes governed by state residential tenancy statutes, and commercial lease disagreements — routinely proceed to mediation before trial. Many commercial real estate contracts in California, New York, Texas, and Florida include mediation clauses specifying the American Arbitration Association (AAA) Commercial Mediation Procedures or JAMS (Judicial Arbitration and Mediation Services) Mediation Rules as the applicable procedural framework.
Healthcare and medical malpractice disputes in states with pre-suit mediation requirements — including Florida (Fla. Stat. § 766.108), Indiana (Ind. Code § 34-18-8-4), and Louisiana (La. Rev. Stat. § 40:1231.8) — require a Mediation Agreement that complies with the state's specific procedural requirements for medical review panels or pre-litigation mediation. The Mediation Agreement must address HIPAA (45 C.F.R. Parts 160, 164) privacy obligations for protected health information disclosed during the mediation session.
Family law mediations under state domestic relations statutes — including California Family Code Section 3170 (mandatory mediation for custody and visitation disputes), New York Domestic Relations Law Section 75-j, and Texas Family Code Section 153.0071 (collaborative law and mediation) — require a Mediation Agreement specifying the scope of family issues to be addressed (custody, support, property division), the mediator's qualifications under state family mediator credentialing requirements, and confidentiality protections consistent with the applicable state privilege statute.
What to Include in Your Mediation Agreement
A complete United States Mediation Agreement must include the following elements to comply with applicable state mediation statutes, the Uniform Mediation Act, and the ABA Model Standards of Conduct for Mediators. The forms-legal.com US Mediation Agreement template incorporates all mandatory elements in a structure consistent with AAA Commercial Mediation Procedures, JAMS Mediation Rules, and state court-annexed mediation program requirements.
Party identification must include the full legal names, addresses, and representative capacity of all parties — whether individuals, corporations, LLCs, partnerships, or government entities — and the names of any attorneys or authorized representatives attending the mediation session. For corporate parties, the representative's authority to bind the entity to a settlement must be confirmed — court-annexed mediation programs in California, Florida, Texas, and New York require a person with settlement authority to attend in person or by telephone.
Description of the dispute must define the subject matter and scope of the mediation with sufficient specificity to establish what issues the mediator is authorized to help, while remaining broad enough to allow the parties to explore creative solutions beyond the initial dispute framing. For court-ordered mediations, the case name, court, docket number, and any scheduling order deadlines must be referenced.
Mediator selection and qualifications must specify the agreed mediator by name and confirm the mediator's credentials — whether a Florida Supreme Court certified mediator, a California Dispute Resolution Programs Act (DRPA)-qualified mediator, a Texas Mediator Credentialing Association member, or an AAA- or JAMS-paneled mediator. The mediator's disclosure obligations under ABA Model Standard VI require advance disclosure of any prior relationship with either party, any financial interest in the outcome, and any prior knowledge of the subject matter.
Confidentiality provisions must confirm that all mediation communications are protected by the applicable state privilege statute — UMA Section 4 for UMA-adopting states, California Evidence Code Sections 1115-1128 for California disputes, Florida Statute Section 44.405 for Florida disputes — and are inadmissible in any subsequent court, arbitral, or administrative proceeding. The clause must address whether documents prepared exclusively for the mediation are protected, whether the mediator may be called as a witness in subsequent proceedings, and whether the confidentiality obligation survives the mediation.
Good faith participation clause must require each party and its representative to attend all scheduled mediation sessions, engage constructively with the mediator's process, and make genuine settlement proposals. Courts in California (Decker v. U.D. Registry, Inc. (1991) 229 Cal.App.3d 659), New York, and Florida have imposed sanctions and adverse costs awards on parties who failed to participate in court-ordered mediation in good faith.
Authority to settle provision must confirm that each party's representative attending the mediation has actual authority to negotiate and execute a binding settlement agreement without requiring additional corporate, board, or insurer approval during the session. Court-annexed mediation orders typically mandate this requirement explicitly.
Costs and fees section must specify the mediator's hourly or daily rate, the administrative fee charged by the mediation provider (AAA, JAMS, or the court), the cost-sharing arrangement between the parties (typically 50/50), and each party's responsibility for its own attorney's fees regardless of outcome. For court-annexed mediations in Florida and Texas, the applicable fee schedule set by the state Supreme Court must govern.
Post-mediation settlement formalization must specify how any settlement reached during mediation will be reduced to a written, signed agreement — whether as a term sheet signed at the conclusion of the mediation session, a full settlement agreement and release executed within a specified period, or a consent judgment or stipulated order filed with the court. The clause should address the binding effect of the term sheet before a formal agreement is executed, consistent with state contract formation law.
Governing law must specify the applicable state law governing the Mediation Agreement — California, New York, Texas, Florida, or another state — and confirm the applicable state mediation privilege statute. For disputes involving parties from multiple states, the choice of law provision should identify the state whose mediation privilege and enforceability rules govern. Parties should also consider a US Settlement Agreement to formalize any mediated resolution and a US Arbitration Agreement as the backstop dispute resolution mechanism if mediation does not produce a settlement.
Sources & Citations
Statutory citations link to official government sources.
- 28 U.S.C. §§ 651US – Cornell LII
- 42 U.S.C. § 2000eUS – Cornell LII
- 29 U.S.C. § 621US – Cornell LII
- 42 U.S.C. § 12101US – Cornell LII
- 29 U.S.C. § 201US – Cornell LII
- 29 U.S.C. § 2101US – Cornell LII
- Americans with Disabilities Act of 1990US – Cornell LII
- Age Discrimination in Employment Act of 1967US – Cornell LII
- FLSAUS – Cornell LII
- HIPAAUS – Cornell LII
- Title VII of the Civil Rights Act of 1964US – Cornell LII
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Reference this free template in an article, syllabus, or research note:
Forms Legal. (2026). Mediation Agreement (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/business/contracts/mediation-agreement
"Mediation Agreement (United States)." Forms Legal, 2026, https://forms-legal.com/usa/business/contracts/mediation-agreement.
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note = {Free legal document template. Based on Uniform Commercial Code (UCC)}
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Frequently Asked Questions
A Mediation Agreement is legally binding in the United States once the parties capable of contracting sign it with the intent to be bound under Uniform Commercial Code (UCC). American contract law, drawn from the Restatement (Second) of Contracts and each state's common law, recognizes a Mediation Agreement as enforceable when it shows offer, acceptance, consideration, and reasonably definite terms. Courts in the state whose law governs the agreement will hold the parties to its written terms unless a party proves fraud, duress, mistake, unconscionability, or that the subject matter is illegal. A signed Mediation Agreement carries more evidentiary weight than an oral understanding because the writing fixes what each party promised and reduces later disputes over who agreed to what. To strengthen enforceability, the parties should each keep an original signed copy, date their signatures, and complete every blank rather than leaving terms open to interpretation by a judge.
A Mediation Agreement in the United States must satisfy the core elements of a valid contract: mutual assent shown by offer and acceptance, consideration exchanged between the parties, the legal capacity of each signer, and a lawful purpose. The relevant framework is Uniform Commercial Code (UCC) governs how the document is interpreted and enforced. The writing should clearly identify each party by full legal name, describe the rights and obligations of each side, and state the effective date and any term or expiration. Where one party is a business entity, the person signing should hold authority to bind that entity, such as an officer, manager, or member. Specific states may add formalities for certain agreements, so the parties should confirm local rules before signing. A Mediation Agreement that omits a material term, leaves the price or duration blank, or fails to identify the parties accurately risks being found too uncertain for a court to enforce.
A Mediation Agreement does not require notarization or witnesses to be enforceable in most US states, because a commercial contract takes effect when the parties sign it with the intent to be bound. American contract law makes the agreement valid based on offer, acceptance, and consideration rather than on any formal execution ceremony. Notarization is optional but can add evidentiary weight to a Mediation Agreement by making it harder for a signer to deny the signature later, which is useful for high-value or long-term agreements. Certain contracts within the Statute of Frauds, including those that cannot be performed within one year or that involve the sale of goods of $500 or more under Uniform Commercial Code Section 2-201, must at least be in writing and signed by the party to be charged. For a typical Mediation Agreement, signatures from both parties, with each keeping a dated original, are sufficient to make the agreement binding and provable.
A Mediation Agreement can be terminated according to the termination clause it contains, by mutual agreement of the parties, or when one party's material breach excuses the other from further performance. A well-drafted Mediation Agreement states how either side may end the relationship, for example on written notice of a defined number of days, on completion of the work, or for cause after a chance to cure. Where the contract is silent, US courts may imply a reasonable notice period for ongoing arrangements, but relying on an implied term invites dispute. Termination does not erase obligations that have already accrued, so amounts owed for work performed before termination usually remain payable. Including clear termination, notice, and survival provisions in a Mediation Agreement that cover confidentiality, payment, and dispute resolution after the contract ends gives both parties certainty about how and when the relationship can be wound down.
A Mediation Agreement can be amended after signing when all parties agree to the change and record it in writing. Under general US contract principles, an amendment is itself a contract, so it needs the same mutual assent and, in many states, fresh consideration or a signed written modification to be enforceable. The cleanest method is a dated amendment or addendum that identifies the original Mediation Agreement, states exactly which sections change, and is signed by everyone who signed the original. Striking through or handwriting edits on the signed original invites disputes about who approved the change and when, so a separate written amendment is the preferred approach. Where the agreement contains a 'no oral modification' clause, only a signed writing will alter the terms, and informal promises to change the deal will not bind the parties. Keeping each amendment attached to the original Mediation Agreement preserves a complete record of the parties' final agreement.
A Mediation Agreement does not require a lawyer in most routine situations, and many individuals and small businesses prepare one using a clear written template that covers the standard terms. American law does not condition the validity of a Mediation Agreement on attorney involvement; what matters is that the parties understand the terms and sign voluntarily. Legal review becomes worthwhile when the amounts at stake are large, the relationship is complex, the parties are in different states, or the agreement involves unusual conditions, tax consequences, or rights that are difficult to reverse. An attorney can confirm the document complies with the governing state's law and tailor clauses such as indemnification, dispute resolution, and termination. For straightforward matters, a carefully completed Mediation Agreement from forms-legal.com gives the parties a solid written record; consulting a licensed attorney remains the safer path whenever the consequences of a mistake would be costly or hard to undo.
This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer
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