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Mediation Agreement - Oklahoma

Mediation Agreement Form. This is a Oklahoma form and can be used in Workers Comp .
 Fillable pdf Last Modified 3/14/2014
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OKLAHOMA WORKERS' COMPENSATION COMMISSION MEDIATION SYSTEM Date: _______________________________ Workers' Compensation Commission File Number, (if any) _______________________ RESPONDING PARTY: ______________________________________ ______________________________________ INITIATING PARTY: ____________________________________ ____________________________________ MEDIATION AGREEMENT We, the disputing parties, certify that this agreement shall constitute a mutually acceptable solution and shall abide by the following terms and conditions. WE AGREE THAT OUR OBLIGATIONS ARE AS FOLLOWS: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ WE FURTHER AGREE that in the event any disputes arise as to the terms of the agreement reached, the mediator shall be the sole, final arbiter of those disputes. We have read and understand this Agreement and agree to abide by its terms and conditions. INITIATING PARTY: ____________________________________ ____________________________________ Initiating Party's Attorney, If Any: ____________________________________ ____________________________________ Date: ______________________________ ____________________________________ Mediator American LegalNet, Inc. www.FormsWorkFlow.com RESPONDING PARTY: ______________________________________ ______________________________________ Responding Party's Attorney, If Any: ______________________________________ ______________________________________ Date: _________________________________
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