You can learn much more about available services, mediation, court process, separation, divorce and the law by visiting us at one of our Family Law Information Centres (FLIC).
Off-Site Family Mediation Intake Form (No court case required)
Privacy & Confidentiality
Everything you share in this form is strictly confidential and forms part of a closed mediation process. We will not share your information with anyone without your consent, except in the following circumstances required by law:
- A child is at risk of harm
- A person is in imminent danger
- A judge orders disclosure
Your information may also be used for research or training purposes, with all identifying information removed.
Before You Begin — Please Note:
- Each party must complete and submit their own separate form. Mediation cannot proceed until intake forms have been received from both parties.
- Have your photo ID ready to show the mediator at your intake appointment.
- This form takes approximately 15 minutes to complete.
- Digital security notice: While we take all reasonable steps to protect your information, we cannot guarantee that electronically submitted data is 100% secure.
Please have PDF or JPEG copies of the following documents ready to upload when prompted (if applicable):


