Mediation Information and Assessment Rules, 2020 - Family Mediator's Certificate (SL 65 of 2020)

Form MIAM2

FAMILY MEDIATOR'S CERTIFICATE

This section only applies where an applicant has claimed that (s)he is exempt from attendance at a MIAM or confirms that (s)he has attended a MIAM.

A. MIAM exemption(s) apply(ies)

I am satisfied that the following MIAM exemption(s) apply: • mediation is not suitable as a means of resolving the dispute because none ______ of the respondents is willing to attend a MIAM; or - • mediation is not suitable as a means of resolving the dispute because all of ______ the respondents failed without good reason to attend a MIAM appointment; or

• mediation is otherwise not suitable as a means of resolving the dispute. ______

B. Applicant has previously attended a MIAM

I confirm:

• the applicant only attended a MIAM; _____

• the applicant and the respondent(s) together attended the MIAM; ____

• the applicant and the respondent(s) have each attended separate MIAMs; or _____ _____ • the respondent(s) has(have) made or is(are) making arrangements to attend a separate MIAM.

And I also confirm that mediation or other form of non-court dispute resolution is not proceeding because:

• the applicant has attended a MIAM alone and:

* (s)he does not wish to start or continue mediation; or ___ * I have determined that mediation is unsuitable as a means of resolving the dispute. _____

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• both the applicant and the respondent(s) have attended a MIAM (separately or together) and:

* the applicant does not wish to start or continue mediation; or ____ * the respondent(s) does(do) not wish to start or continue mediation; or ____ * I have determined that mediation is unsuitable as a means of resolving the dispute. ____

• Mediation has started, but it has:

* broken down; or ____ * concluded with some or all issues unresolved. ____

C. Following the information session, mediation is to be pursued. ____

Family Mediator's signature

Full name of Mediator

Address

Date

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