Skip to main content
Iowa Judicial Branch
Main Content

Family Law Mediation

Mediation Forms

Mediation Form 1: Order Re Mediation (Doc)

Mediation Form 1A: Order Re Mediation (Doc)

Mediation Form 2: Assignment of Mediator (PDF)

Mediation Form 3: Election of a Mediator (Doc)

Mediation Form 4: Application for a Reduced Rate (Doc)

Mediation Form 4A: Financial Affidavit for Reduced Rate Mediation Fee (Doc)

Mediation Form 5: Order On Application For Reduced Rate Mediation Fee (Doc)

Mediation Form 6: Application For Exemption From Mediation As A Result Of Domestic Violence (Doc)

Mediation Form 6A: Affidavit of Domestic Violence (Doc)

Mediation Form 7: Order On Application For Exemption From Mediation As A Result Of Domestic Violence (Doc)

Mediation Form 8: Application For Exemption From Mediation By Way Of Settlement (Doc)

Mediation Form 9: Order Exempting Parties From Mediation Because Of Settlement (Doc)

Mediation Form 10: Application For Exemption From Mediation Because Of Default Judgment (Doc)

Mediation Form 11: Order Exempting Parties From Mediation Because Default Judgment Entered (Doc)

Mediation Form 12: Mediator’s Disclosure Of Conflicts Of Interest (Doc)

Mediation Form 13: Mediator’s Certificate Of Compliance With Requirements For Mediation On Temporary Matters (Doc)

Mediation Form 14: Mediator’s Certificate Of Compliance With Requirements For Mediation (Doc)

Mediation Form 16: Application For Hearing As A Result Of Non-Compliance (Doc)

Mediation Form 17: Order On Application of Non-Compliance (Doc)

Mediation Form 18: Application For Exemption From Mediation Due To Incarceration (Doc)

Mediation Form 19: Order On Application for Exemption From Mediation Due To Incarceration (Doc)

Mediation Form 20: Mediator Guidelines (PDF)

Mediation Form 21: Enrollment Form (Doc)

Mediation Form 22: Administrative Directive (PDF)

Mediation Form 23: Order for Hearing on Temporary Matters (Doc)

Mediation Form 24: Mediator Form for Non-Compliance (Doc)

Additional Information on Family Law Mediation

Pretrial Stipulation

Statewide List of Family Mediators

Children in the Middle

Mandatory Education for Divorcing Parents

Iowa law requires that parties to any action which involves the issues of child custody or visitation must attend a court-approved course about the affects of divorce on children. In all judicial districts, there are courses such as “Children in the Middle or Children Cope with Divorce. These classes are designed to help minimize the negative impact of divorce on children and educate parents about the needs of children whose parents are divorcing.

Parents are required to attend within forty-five days of the service of original notice or application for modification of an order. A final decree shall not be entered until the parties have complied with this requirement, but under certain circumstances attendance can be waived by the court.

Each participant must pay a fee. Other persons, such as grandparents may also attend for a fee. The registration procedure for each provider may vary, so participants should call to get specific information when planning to attend a class.

Court approved courses are listed by district:

District 1

Serving the counties of Allamakee, Black Hawk, Buchanan, Chickasaw, Clayton, Delaware, Dubuque, Fayette, Grundy, Howard, Winneshiek

Please note that any on-line children in the middle courses are NOT approved or certified for use in the First Judicial district.

Hawkeye Community College
Children in the Middle
Cedar Falls Center
P.O.Box 8015
Waterloo, IA 50704-8015
319-277-2490

Northeast Iowa Community College (primary location)
Calmar Campus 
PO Box 400
1625 Highway 150
Calmar IA 52132
563.562.3263, ext 399
800.728.2256, ext 399

Parenting Solutions
Cedar Falls, IA
www.parenting-solutions.org

Town Clock Center for Professional Development (2nd location)
Dubuque IA
563.557.8271, ext 380
888.642.2338, ext 380

© 2021 Iowa Judicial Branch. All Rights Reserved.