Mediation Agreement Template – US

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Updated: 2025-2026


Disclaimer

The content provided is intended solely as a general example for informational purposes related to settlement and dispute resolution agreements. It does not constitute legal advice and should not be relied upon as a substitute for consulting a qualified attorney specializing in dispute resolution, contract law, or related fields. Laws and regulations may vary depending on the jurisdiction, and adjustments may be required to ensure compliance with local requirements. The use of this example is the sole responsibility of the user, and we assume no liability for any errors, omissions, or consequences arising from its use without professional review.


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Please note: This is a sample Mediation Agreement template for the United States, provided for illustrative purposes only. Actual terms may vary based on specific circumstances and applicable laws.

Mediation Agreement Sample (US)

Parties Involved:

Mediator: XYZ Mediation Services
Address: 123 Mediation Lane, New York, NY 10001

Parties: Plaintiff: John Doe
Defendant: Jane Smith

Scope of Mediation:

This agreement pertains to the resolution of disputes related to [Insert dispute description], to be mediated at the specified location or online as agreed upon.

Mediation Process:

The mediator shall facilitate discussions, foster negotiation, and assist the parties in reaching a mutually acceptable resolution. The process shall comply with applicable laws and ethical standards.

Confidentiality:

All communications during mediation shall be confidential and shall not be disclosed to any third party, except as required by law or with the consent of all parties.

Fees and Payment:

The parties agree to share the mediation fees equally unless otherwise specified. Payment shall be made prior to or immediately following the mediation sessions.

Termination & Settlement:

The mediation may be terminated by mutual agreement or unilaterally by any party upon reasonable notice. Any settlement reached shall be documented in writing and signed by all parties.

New York, ______________________

________________________
XYZ Mediation Services (Mediator)
________________________
John Doe (Party)
________________________
Jane Smith (Party)