Mediator Directory Update Form

STOP
DO NOT USE THIS FORM
UNLESS YOU ARE LISTED IN THE
STATEWIDE MEDIATOR DIRECTORY. 

IF YOU ARE NOT IN THE DIRECTORY,
CONTACT YOUR LOCAL ROSTER MANAGER (if you are on a roster) 
OR COMPLETE THE APPLICATION TO BECOME A MEDIATOR WITH A NYS TRIAL COURT.
 
Thank you for serving as a mediator in a trial court of the New York State Unified Court System. Please complete this form to update your record in the Statewide Mediator Directory.

You may use this form to update these fields:
  1. Name
  2. Contact Information
  3. Attorney Status
  4. Online Mediation availability
  5. Languages Spoken
  6. Subject Areas
  7. Fee Structure
  8. Education/Experience
  9. Counties Served

Do not use this form to update these fields: 
  • Judicial District
  • Rosters on which you serve
  • Case Types referred to you by the court
(You may ask your local ADR Coordinator to update these fields.) 

 
In this form, please share your first name, last name, and email address, along with any update you would like to make in any of the fields below. 

Please provide the exact content you would like to see in each field you are seeking to update.  Any content in a field that you update below will replace whatever is currently in that field. Any field left blank will not be updated in the directory.

The information you provide will be publicly listed in the Statewide Mediator Directory.  

Thank you for your time.  
1.Name
2.Contact Information
For the questions below, please only enter information in the fields you wish to update. Anything entered in a field below will overwrite the corresponding information in your record. Please ensure your responses are complete. 
3.Are you an attorney?
4.Are you able to conduct mediation virtually/remotely? (e.g., Zoom, WebEx, Microsoft Teams, Skype for Business, Skype)
5.Please list any languages other than English in which you are fluent enough to conduct a mediation:
6.Please share the subject areas in which you mediate:
7.Fee Structure
8.Education/ Relevant Experience (includes mediation training)
9.Please check the county(ies) in which you can provide in-person mediation.