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ADR Mediation Forms

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Notice:


Mediator Mentorship Program Applications	This program is not currently accepting applications
Mediator Application	Next application period begins January 1, 2026

For Mediators

Mediator's Guide to Conducting Remote EDNY Mediations

Mediator's Oath

Stipulation of Discontinuance

Online Mediation Forms

Mediator Self-Assessment Form

Selection of Mediator Form

Mediation Report

For Counsel and Parties

For Counsel and Parties

In Person Confidentiality Stipulation

Instructions for Referrals to EDNY Mediation with a Fee Waiver

Remote Confidentiality Stipulation

In Person Confidentiality Stipulation

Instructions for Referrals to EDNY Mediation with a Fee Waiver

Remote Confidentiality Stipulation

Mediation Instructions for Counsel

Mediation Advocacy Program (MAP) Notice of Limited Appearance