MediatorConsultant
Confidentiality Agreement is made on____/____/_____/
Each party participating in this mediation shall maintain confidentality of all information discussed and obtained by the mediator during the mediation and between the following listed participants. These proceedings shall remain confidential and not be discussed or disclosed to any non-participant unless it is otherwise agreed to by the participating parties or required by applicable law.
Client(s) Name:________________________________________________________________________
Client(s) Signature:_____________________________________________________________________
Client(s) Name:________________________________________________________________________
Client(s) Signature:_____________________________________________________________________
Client(s) Name:________________________________________________________________________
Client(s) Signature:_____________________________________________________________________
Co-Mediator(s) Name:__________________________________________________________________
Co-Mediator(s) Signature:_______________________________________________________________
Mediator(s) Name:_____________________________________________________________________
MediatorConsultant
Charlie Williams
Los Angeles Superior Court ADR Mediator 928 North San Fernando Boulevard, Suite J-122
Burbank, California 91504-4350
Phone: (213) 819-4097
Fax-Phone: (818) 951-3663
PGN@Verizon.net