Mediation in Special Education
in Washington State
Parents and School Systems Working Together

 

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State of Washington
Special Education Mediation
MEDIATION AGREEMENT

Name of Student: _____________________	School District: _____________________
Date of Mediation: _____________________	Case No.: _____________________

PARTIES:

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Parent/Guardian	School District Representative

Additional Participants to the Mediation: include relationship to student)

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TERMS OF AGREEMENT
(Use additional pages if necessary)

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Parent/Guardian Signature	School District Representative Signature

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