Apply for mediation

1. Can you apply?

   1. Does your mediation relate to a parenting plan or the custody of your children? *

      • Yes
      • No

   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? *

      • Yes
      • No

   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? *

      • Yes
      • No

   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? *

      • Yes
      • No

   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? *

      • Yes
      • No

   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. Which Dispute Resolution Centre (DRC) is closest to you? * —please select—South Queensland DRC – BrisbaneWide Bay DRC – Hervey BayCentral Queensland DRC – RockhamptonMackay Whitsunday DRC – MackayNorth Queensland DRC – TownsvilleFar North Queensland DRC – Cairns
   2. 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? *

      • Yes
      • No

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

      2. Please upload a copy of the order Upload and attach a file

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

   4. Has there been any abuse, threats or police involvement? *

      • Yes
      • No
   5. Please briefly describe the abuse, threat or level or police involvement *
   6. Are you willing to meet with the other party to resolve the dispute? *

      • Yes
      • No
   7. How will mediation benefit you? *
   8. Briefly describe the main issue you want to discuss in mediation? *
   9. What suggestions can you make to resolve the dispute? *
   10. What have you already tried to resolve this dispute? * Select all that apply

       • Talking with the other person
       • Writing a letter to the other person
       • Legal advice
       • Contact with a government agency (ie QCAT, Fair Trading, Local Council)
       • Other
   11. Please tell us what you tried: *
   12. How long have you been in dispute? *

       • Less than 6 months
       • 6 - 12 months
       • 1 - 2 years
       • 2 - 5 years
       • 5 - 10 years
       • More than 10 years
3. Details of other party

   1. Title —please select—MsMissMrsMrMasterDrAttyProfHonGovOfc
   2. Name

      1. Given name
      2. Family name
   3. What language do they speak?
   4. What is your relationship with this person? E.g. is this person your friend, parent, sibling, neighbour, etc.
   5. How long have you known this person?
   6. What contact details do you have for the other party? * Select all that apply

      • Address
      • Phone
      • Email
   7. Address

      1. Address line 1 *
      2. Address line 2
      3. 1. Town, city or suburb *
         2. State *
         3. Postcode *
   8. Phone * Home, mobile or work number
   9. Email * Example: jane.smart@example.com

   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

       • Yes
       • Unsure
       • No
   12. Who are the additional people? *
   13. What is their relationship to the other party? *
4. Your details

   1. Title * —please select—MsMissMrsMrMasterDrAttyProfHonGovOfc
   2. Name

      1. Given name *
      2. Family name *
   3. Address

      1. Address line 1 *
      2. Address line 2
      3. 1. Town, city or suburb *
         2. State *
         3. Postcode *
   4. What is your preferred contact number? *

      • Home phone
      • Mobile phone
      • Work phone
   5. 1. Home phone *
      2. Mobile phone
      3. Work phone
   6. 1. Mobile phone *
      2. Home phone
      3. Work phone
   7. 1. Work phone *
      2. Home phone
      3. Mobile phone
   8. Email Example: jane.smart@example.com
   9. Do you need an interpreter? *

      • Yes
      • No
   10. What language do you speak? *
   11. Are you of Aboriginal or Torres Strait Islander origin? *

       • Yes
       • No
   12. Do you have any health issues, special needs or disabilities? *

       • Yes
       • No
   13. Please give us more details *
   14. Are there any other people involved in the dispute who need to attend mediation with you? * Example: husband, wife, business partner

       • Yes
       • No
   15. Who are the additional people? *
   16. What is their relationship to you? *
5. Acknowledgements

   Please confirm that:

   1. Acknowledgement

      * you understand that mediation is voluntary.
   2. Acknowledgement

      * you understand that the Dispute Resolution Centre does not provide legal advice.
   3. Acknowledgement

      * you understand that an assessment will be made if this matter is suitable for mediation.
   4. Acknowledgement

      * you have read and agree to the privacy statement. View the privacy statement.