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_Refer to Mediation

1 Dispute
2 Parties
3 Contact
4 Review
5 Payment
  • Nature of Complaint

  • (record in the format, below)
  • Drop files here or
    Accepted file types: pdf, doc, docx, jpg, png.
    (only .pdf .doc .jpg .png files are accepted)
  • Party 1

  • Drop files here or
    Include previously uploaded documents here.
  • Party 1 Recommended Mediator

  • Party 1 Legal Representative

  • (for personal contact)
  • (add state code to a local number)
  • Party 2

  • (for personal contact)
  • (add state code to a local number)
  • Drop files here or
    Include previously uploaded documents here.
  • Party 2 Recommended Mediator

  • Party 2 Legal Representative

  • (add state code to a local number)
  • Specify the date for the mediation

  • The Administrator will appoint a Mediator who is available to conduct the mediation during the period requested and agreed between the parties.
  • Start of period when you are available for mediation.
    Date Format: DD slash MM slash YYYY
  • End of period when you are available for mediation.
    Date Format: DD slash MM slash YYYY
  • Recommend a Mediator

  • Your Details

  • Legal Representative Contact Details

  • Mediation Location

  • IMPORTANT - PLEASE READ
    The Adviser will appoint a mediator in the location that advantages both parties but subject to the stipulation of the franchising agreement, the requirements of the Franchising Code of Conduct and the parties' agreement.
    This will normally be in the State or Territory in which the franchised business is based (see clause 21 of the Code). However, if your franchise agreement was entered into before 1 January 2015 and not varied or transferred on or after that date, it may provide for a different location, which may apply, see subclauses 3(4) and (5) of the Code.
    If either the Franchisee or Franchisor want a mediator appointed in a particular location then you should immediately make your request known to the Resolver.
  • Your Documents

  • Attach copies of any documents or correspondence that provides a background to the dispute, including photos. When submitted these documents will be emailed to all of the parties copied on this form.
    You can attach documents in .JPEG, PDF, XLS(X), or .DOC(X) format. Up to 12 separate documents can be included of up to 128MB size in total.
    Drop files here or
    Accepted file types: jpg, pdf, png, tiff, doc, docx, xls, xlsx.
  • I request that the Dairy Dispute Resolver refer a mediator to assist with my dispute.

    I understand that the Resolver will arrange with both the Complainant and the Respondent to organise for the referral to a mediator to conduct the mediation.

    I understand that if the dispute is not referred to a mediator within 28 days, I will be refunded the administration fee in full.
  • Date Format: DD slash MM slash YYYY
  • $ 0.00
  • Please check if you have activated a Stripe feed for your form.
  • After clicking Submit, please be patient while your payment details are verified, your party details are processed, and we email you a summary document and invoice.
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