Forms > Mediator's Oath
Mediator Oath of Acceptance
Mediator’s Oath of Acceptance
In the Matter of the Mediation Between:
_____________________________________ CLAIMANT VS. _____________________________________ RESPONDENT
STATE OF ____________________
COUNTY OF __________________
BEFORE ME, the undersigned authority, on this day personally appeared ____________ ______________, who after having been duly sworn, acknowledged to me that he hereby accepts the appointment as Mediator in the above-referenced Mediation and that s/he will faithfully assist the above-named parties in their negotiations toward a full and equitable resolution of their dispute, and that he will not compel or coerce either party toward settlement. SIGNED:
_________________________ Mediator
SWORN TO AND SUBSCRIBED before me by the said ______________ on this _____ day of ______________, 19 ____, to certify which, witness my hand and seal of office.
_________________________________ NOTARY PUBLIC FOR THE STATE OF _______________________ My Commission Expires: ____________
[SEAL]
cc: Parties and Counsel of Record, if any.
© 1996 The Mediation Center, Inc.
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