MediationReady-to-Use Template

Mediation Settlement Proposal Template

Template for drafting a settlement proposal to present during divorce mediation sessions.

2 min read
In This Guide

About This Template

Template for drafting a settlement proposal to present during divorce mediation sessions.

Fill in each field below with your specific information. Fields marked with an asterisk (*) are required. Replace all bracketed text with your actual details and remove the brackets.

How to Use This Template

  1. Print this page or copy the template into a word processor.
  2. Replace each bracketed field with your actual information. Remove the brackets.
  3. Remove sections that do not apply. Write N/A for required fields that do not apply.
  4. Review the completed document for accuracy. Check every field twice.
  5. Have someone else review it before final submission.
  6. Keep a copy for your records.
Pro Tip: Make two copies of every page before you submit anything. Keep one at home and one in a separate location.

Mediation Settlement Proposal Details

Complete each field below with information specific to your mediation settlement proposal template situation.

Mediation Settlement Proposal Template

[Petitioner Full Legal Name]*: _________________

The spouse filing the petition.

[Respondent Full Legal Name]*: _________________

The other spouse.

[Date of Marriage]*: _________________

As shown on the marriage certificate.

[Date of Separation]*: _________________

When you and your spouse began living apart.

[County and State of Filing]*: _________________

Most states require filing in the county where at least one spouse resides.

[Grounds for Divorce]*: _________________

Most states allow 'irreconcilable differences' as a no-fault ground.

[Children of the Marriage]: _________________

Names and dates of birth for all minor children.

[Proposed Property Division]: _________________

Brief description of how you propose to divide marital assets and debts.

[Proposed Custody Arrangement]: _________________

Which parent has primary custody, visitation schedule, and decision-making authority.

Contact Information

Your identification and contact details for this mediation settlement proposal template document.

[Your Full Legal Name]*: _________________

As it appears on your government-issued ID.

[Date]*: _________________

MM/DD/YYYY format.

[Current Address]*: _________________

Street, city, state, ZIP code.

[Phone Number]*: _________________

Best number to reach you during business hours.

[Email Address]: _________________

Optional but recommended for faster correspondence.

Signature

I certify that the information provided in this document is true and correct to the best of my knowledge.

[Signature]*: _________________
[Printed Name]*: _________________
[Date]*: _________________

Important Notes

  • Do not submit this template with bracketed placeholder text still in place.
  • Verify all information against your source documents before submitting.
  • Keep the original completed document and at least two copies.
  • Check whether the receiving office has specific formatting requirements.
Important: Review every field before submitting. Incomplete documents are the most common cause of processing delays.

Disclaimer: DivorceNavigator is a document preparation service, not a law firm. We do not provide legal advice. Not a substitute for legal counsel.

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