CAO SC 4-6
AGREEMENT TO MEDIATE

Case Name: 							 Case No.: 				

This agreement is made between 		 and

           							, who are referred to as "the parties."

The mediation will be confidential discussion aimed at resolving the issues in dispute.

The mediators are neutral.  Their purpose is to help the parties come to an agreement. They do not favor either party. They do not and will not give legal advice to either party.

The mediators will not be serving as advocates, lawyers or judges.

The parties will honestly attempt to reach an agreement that is acceptable to both parties.

Either party can end the mediation at any time.

Nothing that is said, written, or done by either party or by a mediator can be used in this case if an agreement is not reached, except as agreed by the parties or:

If a mediator has reason to believe either (a) that a child has been abused, abandoned, or neglected, or, (b) that mediation communications must be revealed to prevent a crime that poses a serious risk of bodily injury or death, then, the mediator has a legal duty to report the circumstances to proper authorities.

I HAVE READ, UNDERSTAND, AND AGREE WITH ALL THE TERMS WRITTEN ABOVE.

Dated: 						

													
(Plaintiff)						(Defendant)