The agency and the parties to the mediation agree to participate in a mediation in which the mediation communications are confidential and/or nondiscoverable and inadmissible to the extent authorized by OAR 257-090-0010 and this agreement. This agreement relates to the following mediation:
(Identify the mediation to which this agreement applies)
___confidential and may not be disclosed to any other person
___not admissible in any subsequent administrative proceeding and may not be disclosed during testimony in, or during any discovery conducted as part of a subsequent administrative proceeding, or introduced as evidence by the parties or the mediator in any subsequent administrative proceeding
___not admissible in any subsequent administrative, judicial or arbitration proceeding and may not be disclosed during testimony in, or during any discovery conducted as part of a subsequent administrative, judicial or arbitration proceeding, or introduced as evidence by the parties or the mediator in any subsequent administrative, judicial or arbitration proceeding
Name of Agency
________________________________________________Date________
Signature of Agency's authorized representative (when agency
is a party) or Agency employee acting as the mediator (when
Agency is mediating the dispute)
Name of party to the mediation
________________________________________________ Date________
Signature of party's authorized representative
Name of party to the mediation
________________________________________________Date________
Signature of party's authorized representative Date
Or. Admin. Code § 257-090-0010
Stat. Auth.: ORS 36.224
Stats. Implemented: ORS 36.224, 36.228, 36.230 & 36.232