Apply for re-accreditation

Use this form to apply for re-accreditation under the Australian mediator and dispute resolution accreditation standards (AMDRAS).

Before you apply, please make sure you have evidence that during your 2-year accreditation period, you have:

• conducted the required hours of mediation, co-mediation or conciliation
• completed at least 25 hours of professional development.

If you mediate outside the Dispute Resolution Branch (DRB) you must provide evidence of your mediation-related insurance, statutory indemnity or employee status.

If you need help with your application, please contact us by calling (07) 3738 7015 or emailing trainingdrb@justice.qld.gov.au.

1. Can I complete this form?

   1. Are you a mediator currently accredited with the DRB? *

      • Yes
      • No

   2. You are not eligible to complete this form

      To complete this form you need to be already accredited by DRB. If you are accredited by another recognised accreditation provider then you should contact us by emailing trainingdrb@justice.qld.gov.au or by calling 3738 7015.

   3. What level of re-accreditation are you applying for? * See AMDRAS clause 45. Each option requires a stated number of continuing professional development (CPD) hours and practice hours.

      • Accredited mediator Requires 25 CPD hours and 20 practice hours
      • Advanced mediator Requires 25 CPD hours and 40 practice hours
      • Leading mediator Requires 25 CPD hours and 40 practice hours
   4. Have you completed 25 hours of professional development? *

      • Yes
      • No

   5. You are not eligible

      You must have completed at least 25 hours of professional development to apply for re-accreditation. Please contact us for more information.

   6. Have you conducted the required hours of mediation, co-mediation or conciliation during your 2-year accreditation period? View required practice hours *

      • Yes
      • No
   7. Are you applying under adjusted renewal requirements (previously special circumstances)? * View examples of adjusted renewal

      • Yes
      • No

   8. You are not eligible

      You must have conducted the required hours of mediation, co-mediation or conciliation during your 2-year accreditation period to apply for re-accreditation. If you are unsure whether you qualify, contact us to discuss your circumstances.

   9. Please outline your reasons to be considered for adjusted renewal. *
Insurance, statutory indemnity or employee status
See AMDRAS clause 43.
1. Do you conduct mediations outside the DRB? * Either privately or through another organisation

   • Yes
   • No

2. Costs for managing complaints about mediators

   If you conduct private mediations outside of DoJ, you may be charged for the cost of managing complaints under the DRB AMDRAS complaints management policy. This can include costs for:

   • conducting an investigation
   • any reviews of that investigation.

   You will be asked to acknowledge this at the end of the form.

3. Do you have private professional indemnity insurance? *

   • Yes
   • No
4. Private professional indemnity insurance details

   1. Name of insurance company *
   2. Policy number *
   3. Expiry date * Example: 12/07/2026
   4. * Upload a copy of your private professional indemnity insurance showing you are specifically covered for mediation Attachments must be less than 5MB in total. Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx
5. Do you have statutory indemnity through another employer or agency? *

   • Yes
   • No

6. You are not eligible

   If you mediate outside the DRB, you need to have either private professional indemnity insurance or statutory indemnity from another employer.

7. Employee status or statutory indemnity

   1. Name of employer *
   2. Name of second employer (if applicable)
   3. * Upload a copy of a letter from your employer confirming your mediation-related employee status or statutory indemnity Attachments must be less than 5MB in total. Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx
Mediation or conciliation log
1. Enter details of the number of hours of mediation, co-mediation or conciliation you have conducted with the DRB or elsewhere. You must have conducted the required hours of mediation, co-mediation or conciliation during your 2-year accreditation period (or at least 10 hours under adjusted renewal requirements).
2. If you have not kept records of the hours you have conducted with the DRB, your dispute resolution centre coordinator may be able to provide a report of your hours to help you complete this application.
3. Learn more in AMDRAS clause 46(c) and appendix 1.

4. Details of mediation / conciliation
   1	Organisation Date Hours 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 : 00 15 30 45 Activity description Please choose an option Mediation Conciliation Intake Other activities (If you selected ‘other’ above) What other activities did you complete?
   Total hours	00:00
Professional development log
1. Enter details of your continuing professional development (CPD) hours. You must have completed at least 25 hours of professional development during your 2-year accreditation period.
2. Learn more in AMDRAS clause 47 and appendix 2.

3. Details of development
   1	Development activity ( View maximum hours for accepted activities) Please choose an option Participating in education Reflecting on practice Providing professional development Credit for related CPD Learning from practice Self-directed learning Other activities (If you selected ‘other’ above) What other activity did you complete? Date Hours 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 : 00 15 30 45 Description
   Total hours	00:00
Contact details
1. Title * Mr Mrs Ms Miss Mx Dr
2. Name

   1. Given name *
   2. Family name *
3. Is this the name you would like to appear on your certificate of accreditation? *

   • Yes
   • No
4. Preferred name for certificate (If you chose ‘No’ above)

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

   1. Address line 1 *
   2. Address line 2
   3. 1. Town, city or suburb *
      2. State *
      3. Postcode *
6. Phone * Home, mobile or work number
7. Email * Example: jane.smart@example.com
Declarations
1. Under the Standards, mediators must have the personal qualities and appropriate life, social and work experience to conduct mediations or conciliations independently and professionally. To be accredited, we require you to provide the following information.
2. Good character and disclosure I declare I have not at any time been disqualified from any professional practice (for example, a law society or a medical association). *

   • Yes
   • No
3. Please provide an explanation why you answered no to the above question *
4. I declare I do not have any unspent criminal convictions. *

   • Yes
   • No
5. Please provide an explanation why you answered no to the above question *
6. I declare I am without any impairment(s) that could influence my capacity to discharge my obligations as a mediator in a competent, honest and professional manner. *

   • Yes
   • No
7. Please provide an explanation why you answered no to the above question *
8. I declare I have never been the subject of a complaint in my role as a mediator where the complaint was upheld and conditions imposed. *

   • Yes
   • No
9. Please provide an explanation why you answered no to the above question *
10. I declare I have not been refused National mediator accreditation system (NMAS) accreditation, AMDRAS accreditation or accreditation renewal. *

    • Yes
    • No
11. Please provide an explanation why you answered no to the above question *
12. I declare I have never had my mediation accreditation suspended or cancelled. *

    • Yes
    • No
13. Please provide an explanation why you answered no to the above question *
14. I declare that I will notify the Dispute Resolution Branch of any changes to my circumstances that may reasonably affect this approval in the period of this accreditation. *

    • Yes
    • No
15. Please provide an explanation why you answered no to the above question *
Acknowledgement, undertaking and consent
1. • Acknowledgement

     * I acknowledge and agree to be bound by the AMDRAS Code of ethics and Professional practice domains, where they do not conflict with other professional obligations.
   • Acknowledgement

     * I acknowledge that if someone makes a complaint about any services I have provided under the authority of my accreditation as a registered practitioner, the DRB reserves the right to recover from me the reasonable costs of investigating the complaint, including any costs for the internal or external review of that investigation.
     Learn about complaints management under AMDRAS
   • Acknowledgement

     * I understand the ethical code of practice and complaints and disciplinary procedure associated with the Dispute Resolution Branch and agree to comply with the obligations.
   • Acknowledgement

     * I understand that by completing this application I will be providing the DRB with sensitive information for the purpose of assessing my eligibility for re-accreditation.
   • Acknowledgement

     * I consent to:

     • my personal information being disclosed to the AMDRAS Board or relevant AMDRAS-related entity
     • my name, registration status and accreditation body being released on the AMDRAS national register
     • the AMDRAS Board or entity releasing the information to other AMDRAS-related entities (but to no one else without the consent of all parties concerned).
   • Acknowledgement

     * I certify that the contents of this application are true and correct.