Mediation Position Statement Form
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8Mediation Position Statement
This statement is made solely for the purposes of a mediation of this dispute. It is without
prejudice to any proceedings and may not be referred to or relied upon within any such
proceedings.
It is confidential to the parties and to the Mediator, and so will be shared between parties and
copied to the mediator, prior to the mediation.
When responding to the questions below, please use continuation sheets if necessary.
Name:
Company Name:
Address:
Contact Telephone
Number:
Reference:
Signature ..........................................
Date..............................
Establishing Trust. Striking Accord
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