Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Sample Alternative Dispute Resolution Forms

The EEOC is compiling sample Mediation Agreements, Intake Sheets, Settlement Agreements, Evaluations, and other forms in order to assist agencies in developing, or improving upon, their ADR forms. Several such forms are listed below. The Commission would welcome the submissions of any additional forms. Please email the forms to federalsectoreeo@eeoc.gov.

Samples Forms:

Agreements to Mediate
Intake Sheets
Evaluation Forms

Sample Alternative Dispute Resolution Forms

U.S. Equal Employment Opportunity Commission

EEOC Headquarters

Breadcrumb

Sample Alternative Dispute Resolution Forms