SAMPLE REQUEST FOR MEDIATION
Date : _______
Name of the Party requesting Meditation
S/o or D/o or H/o or W/o Name
Full Residential Address with Pin code
Or
Designation/ Position
Name of the Company
Complete postal address of the Company with Pin-Code
Subject: Request for Mediation in the matter concerning (Party 1 vs. Party 2, Case No. _____)
Sir,
We refer to the present matter (dispute between our respective clients).
We are instructed to make this an open offer suggesting mediation to you (and to each of the
other parties) in respect of all claims arising out of the above proceedings. We believe that
mediation is a process that could facilitate an early resolution of this claim (which involves
complex issues of both law and fact) and offers a less adversarial environment in which to do
so. (We are writing similar letters to each of the other parties with this proposal).
In the present disputed matter where there is a point of a dispute concerning (briefly explain
the dispute).
Any mediation would be entirely confidential and conducted on a without prejudice basis. All
of the parties would commit to these principles in advance as a part of the agreement to mediate.
If the parties fail to reach a settlement agreement of the claims during the course of the
mediation, then the case can be proceeded to trial in the proper and prescribed manner
according to the laws.
We would ask you to positively consider this request and confirm in open correspondence,
within the next fourteen days, that you will be prepared to refer this claim to mediation.
If we do not hear from you in relation to this open offer within 14 days from the date of this
letter, we will take it that you rejected the offer to mediate. In such circumstances, we reserve
the right to produce this letter in the context of an application or alternatively at the conclusion
of the litigation and ask that this proposal to mediation be taken into account when costs are
being adjudicated upon regardless of the outcome of the proceedings.
If your client is prepared to accept that this matter is referred to mediation, we can put in place
the necessary arrangements for mediation without delay and in particular, reach an agreement
with you on the identity of a mediator and the foxing of the date for the holding of the
mediation.
We look forward to hearing from you.
Regards
Name of the Mediator/ Institution
on behalf of the Name of the Party
Complete postal address with Pin Code
