Submit a Case | Youth Mediator

Step 1 of 7

Identity and verified contact

We verify the applicant email before a case can move forward. This reduces false submissions and gives the Secretariat a reliable contact channel.

MDM cardholder priority

Have an active MDM card?

An active MDM card gives the submission immediate MDM priority once the card is verified. Registered cardholder details can be prefilled securely, while eligibility, confidentiality and neutrality safeguards remain fully applicable.

More information about MDM

Full legal name *

Applicant type *

Capacity to submit *

Authority / guardian detailYouth Mediator may request evidence of authority or guardian consent before the matter proceeds.

Organization / institution

Your role / capacity

Email *This address must be verified before submission.

Phone

Country *

City / region

Preferred language

Preferred contact method

Verify your email

Request a 6-digit code. Verification is linked to the exact address entered above.

Step 2 of 7

Route, parties and relationship

Tell us who is involved and how the matter sits within a personal, organizational, institutional or service relationship.

Case route *

Primary matter type *

Case title *

Who is the other party or who are the other parties? *

Your relationship to the other party *

Approximate number of parties

Does the other party know you are seeking mediation?

Has the other party expressed willingness to engage?

Is communication currently possible?

May Youth Mediator contact another party after review?

Routing note

Select the matter type and route that seem closest. The Secretariat may re-route the case after review.

Step 3 of 7

Facts, chronology and prior attempts

Give enough detail to understand what happened, what is disputed, and what has already been tried. Separate facts you observed from assumptions or second-hand information where possible.

When did the issue begin?

Most recent relevant event

Main location or context

Detailed case narrative *Minimum 120 characters. Clear chronology helps the Secretariat assess the matter faster.

Key events or turning points *

What have you already tried to resolve the matter? *

What remains disputed or unclear?

Relevant impact

Step 4 of 7

Safety, urgency and parallel proceedings

This stage helps prevent mediation from interfering with emergency protection, safeguarding duties, court orders, disciplinary procedures or other competent processes.

Emergency warning. Youth Mediator is not an emergency, police, medical or legal service. If there is immediate danger or an urgent legal deadline, contact the appropriate authority or professional first.

Is anyone in immediate danger? *

Threats, harassment or safeguarding concerns?

Describe the safeguarding concern

Are minors or vulnerable persons directly involved?

Role of minors / vulnerable persons

Is there an urgent deadline?

Deadline date

Are court, police, disciplinary or administrative proceedings active?

Active process, order or reference

Contact restrictions or reasons another party should not be approached

Step 5 of 7

Outcome, boundaries and practical expectations

Mediation works best when the requested outcome is specific enough to discuss but flexible enough to explore alternatives.

Urgency *

Preferred process

Desired outcome *

Acceptable alternatives

Non-negotiable boundaries or conditions

Handling notes for the Secretariat

Step 6 of 7

Evidence and confidentiality

Upload only material that is relevant to understanding the matter. The Secretariat may request more information later if the case proceeds.

Evidence or supporting material summary

Classification *

Supporting documents

Up to 5 relevant files. Maximum 8 MB each and 20 MB total.

I confirm that I am entitled to provide the uploaded material for this review, or that I have a legitimate basis to provide it, and I will not intentionally upload unlawful, malicious or irrelevant content.

Step 7 of 7

Review, authorization and electronic signature

Read these declarations carefully. They form part of the protected case record and evidence the authority under which Youth Mediator may process and review this submission.

Applicant authorization

Authorization to review and administer this matter

By signing below, I authorize the Youth Mediator Secretariat, within its programme mandate and safeguards, to receive, store, review, classify and administer this submission; verify information and documents where reasonably necessary; conduct eligibility, safeguarding and conflict-of-interest checks; communicate with me about the matter; assign authorized personnel if the case proceeds; and, where appropriate after internal review and applicable safeguards, contact or coordinate with identified parties or institutions for the purpose of mediation, facilitation, clarification, referral or case administration.

This authorization does not appoint Youth Mediator as my lawyer, legal representative or attorney, does not create a power of attorney, does not guarantee that another party will participate, and does not suspend any legal, contractual or administrative deadline.

I confirm that the information provided is accurate and complete to the best of my knowledge and that I have not deliberately omitted material facts that would affect eligibility, safety, neutrality or conflict checks. I authorize processing of the information for case intake, eligibility, safeguarding, administration, controlled access, communications, audit, verification and appropriate referral in accordance with the Privacy Notice. I grant the process authorization described above and understand that Youth Mediator may request clarification, decline, pause, re-route, refer or close the matter where appropriate. I agree to communicate respectfully, not knowingly submit false or manipulated evidence, not misuse the platform to harass another person, and comply with reasonable process instructions if the matter is accepted. I understand that Youth Mediator is not an emergency service, court, police authority or legal adviser, and that submitting this case does not suspend any deadline or obligation. I intend my typed name and drawn signature below to evidence my consent, declarations and authorization for this platform record.

Type your full legal name *This should match the applicant name entered in Step 1.

Date and time

Draw your signature *

Use a mouse, trackpad or finger.

Submit only the information needed for structured review.

Build a clear case record, one stage at a time.

Identity and verified contact

Have an active MDM card?

Route, parties and relationship

Facts, chronology and prior attempts

Safety, urgency and parallel proceedings

Outcome, boundaries and practical expectations

Evidence and confidentiality

Review, authorization and electronic signature

Authorization to review and administer this matter

Choose the right route before sharing sensitive information.

Submit only the information needed for structured review.

Build a clear case record, one stage at a time.

Identity and verified contact

Have an active MDM card?

Route, parties and relationship

Facts, chronology and prior attempts

Safety, urgency and parallel proceedings

Outcome, boundaries and practical expectations

Evidence and confidentiality

Review, authorization and electronic signature

Authorization to review and administer this matter

Choose the right route before sharing sensitive information.

Your privacy choices matter.