Mediation Certificate
| Published date | 21 March 2018 |
| Subject Matter | Special Educational Needs and Disability Tribunal forms |
Special Educational Needs and Disability Tribunal
Mediation Information/Awareness/Session
CERTIFICATE
(to be completed by an authorised mediation advisor/mediator)
Child/Young Persons name
Date of birth D D /M M /YYYY
Parent’s name
Part 1
Mediation is not proceeding
The parent or young person has received information and advice about pursuing
mediation about the decision of the LA
dated D D /M M /YYYY and has informed the mediation
adviser/mediator that they do not wish to pursue mediation.
Part 2
Parent/young person has participated in mediation
The parent or young person has requested and participated in mediation
regarding the decision of the LA
dated D D /M M /YYYY
Date mediation completed D D /M M /YYYY
I hereby conrm that I have provided the parent/young person with information
and advice about mediation/mediation as set out above and that I am authorised
to sign the certicate.
Signed
Authorised mediation adviser/mediator
Date D D /M M /YYYY
Part 3
The LA has been unable to arrange
mediation within 30 days of my request for mediation about the decision
dated D D /M M /YYYY
Date of request D D /M M /YYYY(Please provide a copy of your request)
Signed
Date D D /M M /YYYY
SEND21 - Mediation Information/Awareness/Session (07.18)
Part 1 only applies if the mediation
adviser/mediator has provided
the parent or young person with
information and advice about
pursuing mediation, and the parent
or young person has informed the
mediation adviser/mediator that that
they do not wish to pursue mediation.
Part 2 only applies where
the parent or young person has
participated in mediation.
Part 3 only applies where the LA
has been unable to arrange mediation
within 30 days.
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