Please complete the following form if you are interested in having your case mediated through the FINRA Dispute Resolution Mediation Program. You may file a Request for Mediation at any time, whether or not you have already filed an arbitration claim.
When we receive your Request, the FINRA Dispute Resolution staff will contact the other party or parties to the dispute to explain the mediation process, and seek their agreement to mediate. We may provide the other parties to the dispute with a copy of your completed Request for Mediation Form. However, mediation is a voluntary process, and no party is required to mediate a dispute.
To complete this form, please fill in the areas as indicated below, and press the submit button to get the information to us.
Please do not submit any fees at this time. FINRA will send you an invoice for the required fees only after all parties agree to mediate.
Note that filing a Request for Mediation is not a substitute for filing a Statement of Claim in arbitration. In order to file an arbitration claim, you must follow the procedures in FINRA's Uniform Forms Guide.