Riverdale Mediation Services

Consent to Third Party Screening


 

IN THE MATTER OF THE ARBITRATION ACT S.O. 1991, c. 17, as amended,
and the FAMILY LAW ACT, R.S.O. 1990, c.F3, as amended


B E T W E E N:


 


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Riverdale Mediation Ltd. (Riverdale)

 


CONSENT TO THIRD PARTY SCREENING

 


THE SCREENING PROCESS

I , agree to meet confidentially with as required by the Regulation under the Arbitration Act, and as requested by the Arbitrator, for the purpose of assessing suitability for participation in an Arbitration before . The other party shall also meet with the Screener for the same purpose.

I have read and agree to be bound by any applicable terms for Online Meetings that are published on the Riverdale website, as they may be amended from time to time, in the event that this process takes place in whole or part via Zoom or other online platform. I further have read the information on the Riverdale website describing this process and its purpose, and understand and agree to that information. I have read the attachments to this Consent and agree to and understand them.

The Screener’s relevant training and experience is set out in Schedule A. The Screener is independent of the parties, their lawyers, and the Arbitrator.  The Screener will meet separately and confidentially with each party. The Screener will apply their skill, judgement and experience in making a confidential recommendation to the Arbitrator in the form attached (Schedule B). The Screener may provide additional information to the Arbitrator as they deem appropriate and may answer any follow up questions from the Arbitrator, at any time, in confidence. I understand and agree that all communications between me and the Screener, the other party and the Screener, and between the Screener and the Arbitrator are confidential and are not subject to disclosure to me or to any person but for the exceptions below.

I agree to provide full information and documents (“information”) as requested by the Screener. My failure to do so may result in the withdrawal of the Screener or in the Screener determining that the matter is not appropriate for private adjudication. The information I and the other party provide will be used only to enable the Screener to make informed recommendations that are intended to help the Arbitrator assess and monitor the suitability of this case for arbitration and to determine appropriate procedures for the arbitration. My information and the information of the other party, including intake forms, shall not be considered as evidence by the Arbitrator.

 

WAIVER OF LIABILITY

I agree to hold the Screener harmless and waive any claim or right of action against the Screener.

 

CONFIDENTIALITY OF THE SCREENING PROCESS

All information provided by me shall remain confidential between me and the Screener. All information provided by the other party shall remain confidential between the other party and the Screener. All information arising from the screening process, including intake forms, and the Screener’s notes, conclusions, recommendations, communications and Report, shall be used only for the purpose of providing an informed and confidential Report to the Arbitrator.

The Screener may, solely in their discretion, release some of my screening information, as they deem necessary to fulfill their role, to a lawyer or other professional retained by me. No information relating to or arising from the screening process shall be otherwise disclosed to any person for any purpose except as required by law.

Exceptions to confidentiality that are required by law include:

  • reporting a child in need of protection in accordance with section 125 of the Child, Youth and Family Services Act; and

  • where the Screener believes on reasonable grounds that there is an imminent risk of serious harm or death to an identifiable person or group, they may disclose such confidential information that is required in the circumstances, in their judgement, to prevent such death or

I will not summons the Screener to provide evidence with respect to any aspect of the Screening Process or Report in any proceeding, nor will I seek production of any documents that were provided for or prepared in connection with the Screening Process (unless they are otherwise discoverable).

 

RIGHT TO WITHDRAW and INDEPENDENT LEGAL ADVICE

I understand that I have the right to seek legal advice on the terms of this Agreement. I understand that I have the right to withdraw from the Screening Process at any time prior to the delivery of the Screener’s Report to the Arbitrator. I understand that the Screener has the right to terminate the Screening Process in their discretion at any time.

 

FEES

I will pay the Screener’s fees in full as they are disclosed on the Riverdale website prior to my meeting with the Screener.

I have read this agreement; I understand it and I agree to its terms.

 


PARTY  

DATE

SCREENER  

DATE

 

 

SCHEDULE A - Screener Bio
(Click to view)

 

SCHEDULE B - Report to be Provided to Arbitrator
(Click to view)

 

 

 

 

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Signature Certificate
Document name: Consent to Third Party Screening
lock iconUnique Document ID: ddd9105e359f78921cc75ab159cda8eb2f787494
TimestampAudit
June 19, 2020 2:00 pm ESTConsent to Third Party Screening Uploaded by Anila Jassani - [email protected] IP 2607:fea8:a4c0:fb10:2511:35f4:ce8e:69df