This process will only be able to proceed once the current legal proceedings are concluded, unless you and the other party agree to continue Mediation in the interim.

Please complete this form if you and the other party have agreed to Mediation continuing while the legal proceedings continue.

As Mediation is a confidential process, we require your representative to sign Confidentiality Agreement.

Please arrange for your representative to sign the agreement and upload it below:

Your representative will be the “Lead Claimant”, meaning they will be the party that we communicate with.

In that case, we will communicate directly with you.

Your dispute is ineligible for resolution under this Scheme. Please contact us - we may be able to suggest alternative processes.

Once we receive the entirety of the Claim, we aim to assess and communicate whether the Claim is accepted or declined within 3 working days. If accepted, we will send the Claim to the Respondent and request their Response and confirmation that they agree to Mediation.

Once we receive the Respondent’s response and their agreement to Mediation, we aim to appoint a mediator within 5 working days. We will notify all parties once the appointment has been made.

If the Respondent declines Mediation or the Response period expires without a Response, Mediation cannot proceed. In that case, we will contact you to offer Expert Determination.

In submitting this Mediation Claim Form, the Claimant declares that they:

1. request the Claim to be referred to Mediation under the Scheme; 
2. submit to the exclusive jurisdiction of the New Zealand courts with respect to any legal proceedings seeking to reverse the effect of a Determination requiring the suspension, cancellation, transfer or other amendment to a Domain Name registration, and agree that any such legal proceedings will be governed by New Zealand law; 
3. agree that their Claims and remedies concerning the registration of the Domain Name, the Dispute, or the Dispute's resolution is solely against the Respondent; 
4. are not making the Claim in bad faith, including that it is not for a dominant purpose other than resolving the issue of who the proper Domain Name Holder of a Domain Name is;
5. agree to comply with the Scheme Rules and be bound by any resulting Settlement Agreement or Determination, subject to any rights of review or appeal; 
6. acknowledge that if the Expert orders a transfer of the Domain Name to them or at their request:
   1. they will need to select an Authorised .nz Registrar to provide them with the necessary .nz registry and other services in respect of domain name, and they will advise Domain Name Commission (DNC) of their decision;
   2. that pending their selection of an Authorised .nz Registrar, the existing .nz Registrar of the Domain Names will continue to be the registrar of the Domain Names, and they will be deemed to have accepted that registrar’s existing terms; and
7. declare, to the best of their knowledge, the information contained in or attached to the Claim Form or otherwise comprising the Claim is true and complete in all respects.