Agreement to mediate

By an Agreement

Dated this
Day of
(month)
(year)

BETWEEN

Claimant

AND

Respondent

Together, the Parties

The Parties are parties to Click or tap here to enter text defining legal relationship, eg contract or deed..

Entered into on or about Click or tap to enter a date..

For, or in relation to Click or tap here to enter text to provide context..

The Parties have agreed that Choose an item. shall be referred to Mediation in accordance with the Mediation Rules of the New Zealand New Zealand Dispute Resolution Centre (NZDRC Mediation Rules).

On execution of this Mediation Agreement any Party may initiate the Mediation by completing an Application for Mediation in terms of Rule 3.4. 

For the avoidance of doubt, under this Mediation Agreement the Applicant is not required to serve a Notice of Mediation under Rule 3.1 to initiate the Mediation or to attach such Notice to the Application for Mediation under Rule 3.4(b).

Notices to the First Party:

Notices to the First Party shall be given to an address for service which is:
Phone:
Mobile:
Email:

Notices to the Second Party:

Notices to the Second Party shall be given to an address for service which is:
Phone:
Mobile:
Email:

I certify that: I have read and understood this Mediation Agreement and the NZDRC Mediation Rules; and

I agree to be bound by the terms of this Mediation Agreement and the NZDRC Mediation Rules.

First Party
Second Party
Signature
Name:
Name:
Position:
Position:
In the presence of:
Name:
Name:
Address:
Address:
Occupation:
Occupation:

SCHEDULE OF MATTERS IN DISPUTE FOR REFERENCE TO MEDIATION

The Parties have agreed that the following matters in dispute are the matters to be submitted to Mediation:

  1. [ ]
  2. [ ]

 

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Prior to engaging in Mediation, Parties to a dispute must agree to mediate. Where they have not already agreed to refer a dispute to Mediation under NZDRC’s Mediation Rules, they may do so by completing this Mediation Agreement.

The NZDRC Model Clause should be inserted into all new contracts where the parties wish any future disputes to be referred to Mediation with NZDRC.