Mediation Disclosure Notification and Acknowledgement

Judicial Council of California · Civil

Verified current as of July 10, 2026

This form notifies people involved in a court case that mediation is available as an option to resolve their dispute outside of court, and asks them to confirm they received and understand this information. Parties, lawyers, and court staff use this form to ensure everyone knows about mediation services and to create a record that they were informed about this alternative way to settle their case before going to trial.