{Office Address Line 1}
{Office Address Line 2}
{Office City, State Zip Code}
{Office Main Phone}
TTY {Office TTY}
Fax: {Office Main Fax}
U.S. Equal Employment Opportunity Commission {Accountable EEOC Office}
CONFIDENTIALITY AGREEMENT
EEOC NUMBER: {Truncated EEOC Number}
1. I agree to participate voluntarily in mediation in an effort to resolve the charge(s) filed with the EEOC.
2. I agree that all matters discussed during the mediation are confidential, unless otherwise discoverable, and cannot be used as evidence in any subsequent administrative or judicialproceeding. Confidentiality, however, will not extend to threats of imminent physical harm or incidents of actual violence that occur during the mediation.
3. Any communications between the ADR Coordinator and the mediator(s) and/or the parties are considered dispute resolution communications with a neutral and will be kept confidential.
4. I agree not to subpoena the mediator(s) or compel the mediator(s) to produce any documents provided by a party in any pending or future administrative or judicialproceeding. The mediator(s) will not voluntarily testify on behalf of a party in any pending or future administrative or judicialproceeding. I further agree that the mediator(s) will be held harmless for any claim arising from the mediation process.
5. Mediation sessions will not be recorded or transcribed by the EEOC, the mediator or any of the participants. Information including records, or documents generated during mediationshall be kept confidential. Mediators have been instructed to destroy personal notes (those not shared with any party) at the conclusion of mediation of the charge. Parties or their representatives are not prohibited from retaining their own notes. However, the EEOC will not maintain any such notes or records as part of its record keeping procedures.
6. In the event a mediation session(s) is conducted via telephone or video conferencing. I agree that all participants to such mediation session(s) or those that are otherwise present for the remote mediation, must identify themselves at the beginning of the mediation session and sign this Confidentiality Agreement. I understand that no one else may be present in the location away from the convening mediator unless their names and titles and/or roles are disclosed to the convening mediator and have signed the Confidentiality agreement.
7. If a settlement is reached by all the parties, the agreement shall be reduced to writing and when signed shall be binding upon all parties to the agreement. If the charge(s) is not resolved through mediation, it is understood by the parties that the charge(s) will be transferred to the investigative unit for further processing.