Mediation / Arbitration Request Submit details of your dispute for mediation or arbitration scheduling. Please select a valid form Arbitration & Mediation Intake Areas of Work * LabourFamilyCommercialOther Areas of Work Process Requested * Arbitration Mediation Both Union Name * Union Contact * Union Contact First Name First Name Last Name Last Name Union Address Union Address Union Address Union Address City City Province Province Postal Code Postal Code Union Address Union Phone * Union Email * Employer Name * Employer Contact * Employer Contact First Name First Name Last Name Last Name Employer Address Employer Address Employer Address Employer Address City City Province Province Postal Code Postal Code Employer Address Employer Phone * Employer Email * Grievance No. / File Reference Upload Copy of Grievance Drop a file here or click to upload Choose File Maximum file size: 20.97MB Upload Collective Bargaining Agreement Drop a file here or click to upload Choose File Maximum file size: 20.97MB Is counsel involved? * Yes No Union Representative Name Union Representative Name First Name First Name Last Name Last Name Union Rep. Phone Union Rep. Email Employer Representative Name Employer Representative Name First Name First Name Last Name Last Name Employer Rep. Phone Employer Rep. Email Name (Party 1) * Name (Party 1) First Name First Name Last Name Last Name Address (Party 1) Address (Party 1) Address (Party 1) Address (Party 1) City City Province Province Postal Code Postal Code Address (Party 1) Phone (Party 1) * Email (Party 1) * Name (Party 2) * Name (Party 2) First Name First Name Last Name Last Name Address (Party 2) Address (Party 2) Address (Party 2) Address (Party 2) City City Province Province Postal Code Postal Code Address (Party 2) Phone (Party 2) * Email (Party 2) * Company / Individual Name (Party 1) * Company / Individual Name (Party 1) First Name First Name Last Name Last Name Compny / Individual Address (Party 1) Compny / Individual Address (Party 1) Compny / Individual Address (Party 1) Compny / Individual Address (Party 1) City City Province Province Postal Code Postal Code Compny / Individual Address (Party 1) Company / Individual Phone (Party 1) * Company / Individual Email (Party 1) * Company / Individual Name (Party 2) * Company / Individual Name (Party 2) First Name First Name Last Name Last Name Company / Individual Address (Party 2) Company / Individual Address (Party 2) Company / Individual Address (Party 2) Company / Individual Address (Party 2) City City Province Province Postal Code Postal Code Company / Individual Address (Party 2) Company / Individual Phone (Party 2) * Company / Individual Email (Party 2) * Brief background of dispute Issue(s) to be addressed Is this matter before another tribunal or court? Yes No File No. / details Supporting documents Drop a file here or click to upload Choose File Maximum file size: 20.97MB Preferred meeting method In person Virtual Telephone Available date window (earliest) Available date window (latest) Scheduling notes or deadlines Confirmation * I acknowledge this form is used solely for intake and scheduling purposes and does not create an arbitration or mediation agreement. Signature * signature keyboard Clear Submit If you are human, leave this field blank.