Agreement to Mediate

• Issuer: Office of Administrative Law Judges
• Section: U.S. Department of Labor

U.S. Department of Labor Office of Administrative Law Judges

800 K Street, NW

Washington, DC 20001

Mediation Program

Beth Slavet, Chief of Mediation Program

(202) 904-6023 (Cell)

Jashawn Stewart, Mediator

(202) 313-8091 (Cell)

1

In the Matter of:

OALJ Case No.(s) :

v.

AGREEMENT TO MEDIATE

This is an agreement by the parties to mediate a complaint related to the above captioned

claim pending before the Office of Administrative Law Judges (“OALJ”), U.S. Department of

Labor. Use of mediation is a voluntary process which the parties or the mediator may terminate at

any time. The mediator will not act as a representative for either party. Each party is encouraged

to consult with an attorney, if they have not done so, before signing any agreement settling a case.

Communications may be in writing, by electronic mail, or by telephone. An in-person

conference may also be scheduled. The parties and their representatives will attend mediation

sessions unless excused by the mediator. The mediator may suggest the additional participation of

an expert or other person to assist in resolving an issue. No one else may participate without the

permission of the parties and the consent of the mediator. The mediator may speak or meet with

each party separately; in that event, the mediator will not reveal what is said by one party to the

other(s) without permission. The parties agree to ex parte communications with the mediator in

furtherance of the mediation process when either a party or the mediator considers it necessary or

helpful.

By signing this agreement, all participants acknowledge that all mediation sessions and

material prepared for the exclusive use of the mediator are confidential and privileged and

shall not be disclosed in any subsequent proceeding. Each party agrees not to subpoena the

mediator or any documents submitted to the mediator unless those documents are otherwise

discoverable. Under no circumstance will the mediator disclose confidential information

provided during the course of mediation, testify voluntarily on behalf of either party, or submit

any type of report to any court in connection with this case. Neither the completed Agreement

to Mediate nor the Request for Mediation forms are considered confidential. To the extent that

the parties may have participated