Mediation application form

  1. Can you apply?
    1. Does your mediation relate to a parenting plan, access arrangements or the custody of your children? *

    2. You are not eligible to apply for this service

      The Dispute Resolution Branch (DRB) does not provide family dispute resolution and cannot provide the certificate needed to proceed to the Family Court if an agreement can’t be reached at mediation. We may be able to assist with property settlement or other family disputes.

      Please contact Family Relationships Online for assistance with your parenting plan or child custody inquiry.

    3. Are you over 18? *

    4. Please note: You may need the consent of an adult to take part in mediation.

    5. Do you have the contact details of the person you're in dispute with? *

    6. You are not eligible to apply online

      Please contact the Dispute Resolution Centre for help.

    7. Are there any criminal charges related to your dispute currently before the court? *

    8. You are not eligible for mediation

      Please contact the Dispute Resolution Centre for help.

    9. Are you currently involved in any other legal process with the person you're in dispute with? *

    10. You may be ineligible. Please contact the Dispute Resolution Centre for more information, or fill out the application and have the Dispute Resolution Centre contact you.

  2. Complete the questionnaire
    1. Are there any orders in place (e.g. domestic violence order / peace and good behaviour order) that prevent contact between you and the party you're in dispute with? *

      1. You will need to provide a copy of the order. You can either upload it now, or send us a copy later.

      3. Your file has been attached. We will receive it when you submit this form.

    3. Has there been any abuse, threats or police involvement? *
    5. Are you willing to meet with the other party to resolve the dispute? *
    9. What have you already tried to resolve this dispute? * Select all that apply
    11. How long have you been in dispute? *
  3. Details of other party
    2. Name
    6. What contact details do you have for the other party? * Select all that apply
    7. Address

    10. Please choose at least 1 contact method for the other party before continuing.

    11. Are there any other people involved in the dispute who need to attend mediation with the other party? * Example: husband, wife, business partner
  4. Your details
    2. Name
    3. Address
    4. What is your preferred contact number? *
    9. Do you need an interpreter? *
    11. Are you of Aboriginal or Torres Strait Islander origin? *
    12. Do you have any health issues, special needs or disabilities? *
    14. Are there any other people involved in the dispute who need to attend mediation with you? * Example: husband, wife, business partner
  5. Acknowledgements

    Please confirm that:

    1. *
    2. *
    3. *
    4. * View the privacy statement.
Last updated:
29 June 2026