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Request for Mediation
FINRA Dispute Resolution
Please complete this formic you are interested in having your case mediated through the FINRA Dispute Resolution Mediation
Program. You may file a Request
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How to fill out request for mediation

How to fill out a request for mediation:
01
Begin by clearly identifying the parties involved in the dispute. Include their full names, contact information, and any relevant identification numbers, such as case or account numbers.
02
Provide a detailed description of the dispute or issue at hand. Clearly state the facts and circumstances surrounding the dispute, including any relevant dates, events, or interactions. Be as specific and thorough as possible to ensure a comprehensive understanding of the situation.
03
Clearly state your desired outcome or resolution. Explain what you hope to achieve through the mediation process. This could include specific requests for compensation, changes in behavior, or other actions to rectify the situation.
04
Include any supporting evidence or documentation that might be helpful in understanding the dispute. This could include contracts, emails, invoices, or any other relevant materials that support your position. Make sure to organize and label the documents for easy reference.
05
Sign and date the request for mediation. Make sure to include your name and contact information again at the end of the document. This will enable the mediator or other parties involved to easily reach you during the process.
Who needs a request for mediation?
01
Individuals who are involved in a dispute or conflict and wish to resolve it in a peaceful and facilitated manner can benefit from submitting a request for mediation. It could be individuals in personal disputes, such as neighbors, family members, or friends, as well as parties in commercial or contractual disputes.
02
Organizations, such as businesses or non-profit entities, that are engaged in a dispute with another organization, an employee, a customer, or any other party, can also make use of a request for mediation. This offers an alternative to adversarial court proceedings and encourages collaborative problem-solving.
03
Government entities, including local, state, or federal agencies, often employ mediation processes to resolve conflicts involving regulations, policies, or public interest issues. In such cases, a request for mediation can help initiate the process and bring all relevant parties to the table for productive discussions.
Overall, anyone seeking a peaceful and constructive resolution to a dispute can benefit from submitting a request for mediation. It allows the involved parties to take an active role in finding a mutually acceptable solution, with the assistance of a trained mediator.
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What is request for mediation?
Request for mediation is a formal process where parties in a dispute request the assistance of a neutral third party to help facilitate communication and reach a resolution.
Who is required to file request for mediation?
Either party involved in the dispute can file a request for mediation.
How to fill out request for mediation?
To fill out a request for mediation, parties typically need to provide information about the dispute, the desired outcome, and contact information for all involved parties.
What is the purpose of request for mediation?
The purpose of a request for mediation is to encourage communication, facilitate resolution, and potentially avoid the need for formal legal proceedings.
What information must be reported on request for mediation?
Information such as details of the dispute, desired outcomes, contact information for involved parties, and any relevant documentation should be included in a request for mediation.
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