EEOC MEDIATION POSITION STATEMENT
Confidential Settlement Conference Document
MEDIATION CONFIDENTIALITY NOTICE
THIS DOCUMENT IS CONFIDENTIAL
All written and oral communications, negotiations, and statements made in connection with EEOC mediation are strictly confidential and privileged. This position statement and all discussions during mediation:
- Cannot be disclosed to anyone, including other EEOC personnel
- Cannot be used in any subsequent investigation
- Cannot be admitted as evidence in any legal proceeding
- Will be destroyed after mediation (except for any settlement agreement reached)
Both parties sign a confidentiality agreement before mediation begins.
SECTION 1: MEDIATION CASE INFORMATION
EEOC Charge Number: _________________________________________________
Mediation Session Date: ________________________________________________
Mediation Session Time: ________________________________________________
Mediation Location/Format:
☐ In-person at EEOC Office: _______________________________________________
☐ Virtual/Telephonic
EEOC Mediator Name: __________________________________________________
Mediator Contact Information: ____________________________________________
SECTION 2: PARTY IDENTIFICATION
Charging Party Information
Name: ________________________________________________________________
Address: ______________________________________________________________
Phone: _______________________________________________________________
Email: ________________________________________________________________
Represented by Counsel? ☐ Yes ☐ No
Attorney Name (if applicable): ____________________________________________
Attorney Contact: ______________________________________________________
Respondent/Employer Information
Company Name: ________________________________________________________
Representative Name: ___________________________________________________
Representative Title: ____________________________________________________
Address: ______________________________________________________________
Phone: _______________________________________________________________
Email: ________________________________________________________________
Represented by Counsel? ☐ Yes ☐ No
Attorney Name (if applicable): ____________________________________________
Attorney Contact: ______________________________________________________
SECTION 3: MEDIATION REPRESENTATIVE AUTHORITY
For Employer/Respondent
Name of Authorized Representative: ________________________________________
Title: ________________________________________________________________
☐ I confirm that I have FULL AUTHORITY to negotiate and settle this matter on behalf of the company up to the following amount: $ ______________________
☐ I confirm that I can obtain settlement authority by phone during the mediation session
Note: EEOC mediation requires that the employer representative have authority to settle. If authority must be obtained by phone, the decision-maker must be available throughout the mediation.
For Charging Party
Name: ________________________________________________________________
☐ I confirm that I have full authority to settle my own claim
☐ I will be accompanied by my attorney who has authority to advise on settlement
SECTION 4: OVERVIEW OF MEDIATION PROCESS
What to Expect
- Opening Session: The mediator will explain the process and ground rules
- Opening Statements: Each party presents their perspective
- Joint Discussion: Parties discuss issues with mediator facilitation
- Private Caucuses: Mediator meets separately with each party
- Negotiation: Parties work toward resolution through mediator
- Resolution or Impasse: Mediation concludes with agreement or impasse
Key Points
- Mediation is voluntary; either party may withdraw at any time
- The mediator is neutral and does not decide who is right or wrong
- The mediator cannot impose a settlement
- There is no cost for EEOC mediation
- Average mediation session lasts 3-4 hours
- Legal representation is optional
SECTION 5: SUMMARY OF THE DISPUTE
Charging Party's Claims
Briefly summarize the discrimination allegations:
Protected Class(es) at Issue:
☐ Race ☐ Color ☐ Religion ☐ Sex ☐ National Origin
☐ Age ☐ Disability ☐ Genetic Information ☐ Retaliation
Type of Adverse Action:
☐ Termination ☐ Failure to Hire ☐ Failure to Promote ☐ Demotion
☐ Harassment ☐ Denial of Accommodation ☐ Unequal Pay
☐ Other: ________________________________________________________________
Date(s) of Alleged Discrimination: _________________________________________
Brief Description of Charging Party's Position:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Respondent's Position
Brief Description of Respondent's Position:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
SECTION 6: CHARGING PARTY POSITION STATEMENT
This section to be completed by the Charging Party or their attorney
A. Background
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
B. Facts Supporting the Claim
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
C. Impact on Charging Party
Economic Damages:
- Lost wages (past): $ ____________________________________________________
- Lost benefits: $ ________________________________________________________
- Lost future earnings: $ __________________________________________________
- Job search expenses: $ _________________________________________________
- Other economic losses: $ ________________________________________________
Non-Economic Damages:
- Emotional distress (describe): _____________________________________________
- Medical/counseling expenses: $ ___________________________________________
- Other impacts: _________________________________________________________
D. Strengths of the Case
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
E. Settlement Goals
What does the Charging Party hope to achieve through settlement?
☐ Monetary compensation
☐ Reinstatement
☐ Promotion
☐ Neutral reference
☐ Removal of information from personnel file
☐ Policy changes
☐ Training for management
☐ Apology
☐ Other: ________________________________________________________________
F. Initial Settlement Demand
Total Monetary Demand: $ _______________________________________________
Breakdown:
- Back pay: $ ___________________________________________________________
- Front pay: $ ___________________________________________________________
- Compensatory damages: $ _______________________________________________
- Punitive damages: $ ____________________________________________________
- Attorney's fees: $ ______________________________________________________
- Other: $ ______________________________________________________________
Non-Monetary Terms Requested:
___________________________________________________________________________
___________________________________________________________________________
SECTION 7: RESPONDENT POSITION STATEMENT
This section to be completed by the Employer/Respondent or their attorney
A. Company Background
___________________________________________________________________________
___________________________________________________________________________
B. Response to Allegations
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
C. Legitimate Business Reasons
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
D. Strengths of Defense
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
E. Settlement Considerations
Why is the Respondent willing to consider settlement?
☐ Avoid litigation costs
☐ Preserve business relationships
☐ Maintain confidentiality
☐ Achieve closure
☐ Other: ________________________________________________________________
F. Initial Settlement Position
Maximum Settlement Authority: $ __________________________________________
(This figure is confidential and for internal use - not to be disclosed initially)
Initial Offer: $ ________________________________________________________
Non-Monetary Terms Offered:
☐ Neutral reference letter
☐ Removal of specified information from personnel file
☐ Confidentiality agreement
☐ Non-disparagement agreement
☐ Resignation in lieu of termination notation
☐ Other: ________________________________________________________________
SECTION 8: KEY ISSUES FOR MEDIATION
Disputed Issues
| Issue | Charging Party's Position | Respondent's Position |
|---|---|---|
Areas of Potential Agreement
___________________________________________________________________________
___________________________________________________________________________
Obstacles to Settlement
___________________________________________________________________________
___________________________________________________________________________
SECTION 9: LITIGATION RISK ANALYSIS
Charging Party's Assessment
Likelihood of Prevailing:
☐ Very Strong (>75%) ☐ Strong (50-75%) ☐ Moderate (25-50%) ☐ Uncertain (<25%)
Estimated Litigation Costs: $ _____________________________________________
Time to Resolution if Litigated: ___________________________________________
Respondent's Assessment
Litigation Exposure Assessment:
☐ Very High ☐ High ☐ Moderate ☐ Low
Estimated Defense Costs: $ ______________________________________________
Business Disruption Concerns:
___________________________________________________________________________
SECTION 10: SETTLEMENT AGREEMENT TERMS
If settlement is reached, the agreement will typically include:
Standard Terms
☐ Monetary Payment
Amount: $ ___________________________________________________________
Payment Method: ☐ Lump Sum ☐ Structured Payments
Tax Treatment: ☐ Wages (W-2) ☐ Non-Wages (1099) ☐ Split
Payment Deadline: ____________________________________________________
☐ General Release of Claims
Scope: ______________________________________________________________
☐ Confidentiality Provision
Permitted Disclosures: _________________________________________________
☐ Non-Disparagement Clause
☐ Mutual ☐ One-way (Employee only)
☐ Reference Provision
Type: ☐ Neutral ☐ Positive ☐ No Comment Policy
☐ Non-Admission of Liability
☐ Return of Company Property
☐ Withdrawal of EEOC Charge
Additional Terms (if applicable)
☐ Reinstatement
Position: ____________________________________________________________
Start Date: __________________________________________________________
☐ Personnel File Modification
Changes: ____________________________________________________________
☐ Policy/Training Commitments
Description: _________________________________________________________
☐ Severance Benefits Continuation
Benefits: ____________________________________________________________
Duration: ____________________________________________________________
☐ COBRA Assistance
Duration: ____________________________________________________________
Amount: $ ___________________________________________________________
☐ Outplacement Services
Provider: ____________________________________________________________
Duration: ____________________________________________________________
SECTION 11: STATE-SPECIFIC CONSIDERATIONS
California
- California law may provide additional remedies under FEHA
- California Civil Code § 1542 waiver should be included in any release
- Consider attorney's fees provisions under California law
- Unpaid wage claims cannot be released through general release
Texas
- Texas Labor Code Chapter 21 provides state-law remedies
- Consider whether state claims should be included in release
- Texas law may affect enforceability of certain provisions
Florida
- Florida Civil Rights Act claims should be addressed
- Consider state-specific statute of limitations for ongoing claims
New York
- New York Human Rights Law provides additional protections
- NYC Human Rights Law may apply if discrimination occurred in NYC
- Consider enhanced damages available under state/local law
- General release language requirements under NY law
SECTION 12: MEDIATION PREPARATION CHECKLIST
For Charging Party
☐ Calculate all economic damages with documentation
☐ Prepare summary of emotional distress and impact
☐ Bring copies of key documents
☐ Prepare opening statement (5-10 minutes)
☐ Identify minimum acceptable settlement terms
☐ Consider BATNA (Best Alternative to Negotiated Agreement)
☐ If represented, coordinate with attorney on strategy
For Respondent
☐ Obtain proper settlement authority BEFORE mediation
☐ Calculate litigation costs and risks
☐ Prepare response to allegations
☐ Bring relevant documentation
☐ Prepare opening statement (5-10 minutes)
☐ Identify maximum settlement range
☐ Prepare draft settlement agreement terms
☐ If represented, coordinate with attorney on strategy
SECTION 13: DOCUMENTATION TO BRING
Charging Party Should Bring
☐ Copy of EEOC Charge
☐ Employment documents (offer letter, handbook acknowledgment)
☐ Performance evaluations
☐ Pay stubs/W-2s for damages calculation
☐ Medical records (if relevant to damages)
☐ Evidence of job search efforts
☐ Documentation of expenses incurred
☐ Notes or timeline of events
Respondent Should Bring
☐ Copy of EEOC Charge
☐ Personnel file materials
☐ Relevant policies and procedures
☐ Investigation records (if applicable)
☐ Documentation supporting position
☐ Draft settlement agreement
☐ Settlement authority documentation (internal)
SECTION 14: POST-MEDIATION PROCEDURES
If Settlement is Reached
- Settlement agreement drafted and signed
- Payment processed within agreed timeframe
- EEOC Charge withdrawn
- Both parties comply with non-monetary terms
- Confidentiality maintained
If No Settlement
- Mediation records destroyed (except confidential mediator notes)
- Case returns to EEOC investigation track
- No statements from mediation can be used
- Parties may request mediation again later
- Investigation proceeds to determination
SECTION 15: AGREEMENT TO MEDIATE
Charging Party
I understand and agree to the following:
☐ Mediation is voluntary and I may withdraw at any time
☐ All discussions are confidential and cannot be used in later proceedings
☐ The mediator is neutral and cannot force a settlement
☐ I will participate in good faith
Signature: ____________________________________________________________
Date: ________________________________________________________________
Respondent Representative
I understand and agree to the following:
☐ Mediation is voluntary and we may withdraw at any time
☐ All discussions are confidential and cannot be used in later proceedings
☐ The mediator is neutral and cannot force a settlement
☐ We will participate in good faith
☐ I have authority to settle this matter
Signature: ____________________________________________________________
Title: ________________________________________________________________
Date: ________________________________________________________________
CONTACT INFORMATION
EEOC Mediation Program:
- Website: www.eeoc.gov/mediation
- Phone: 1-800-669-4000
- TTY: 1-800-669-6820
Local EEOC Office:
Address: ________________________________________________________________
Phone: _________________________________________________________________
Agreements reached during EEOC mediation are enforceable in court just like any other settlement agreement. However, settlement agreements are not admissions by the employer of any violation of laws enforced by the EEOC.
About This Template
Jurisdiction-Specific
This template is drafted for general use across all U.S. jurisdictions. State-specific versions with local statutory references are also available.
How It's Made
Drafted using current statutory databases and legal standards for employment hr. Each template includes proper legal citations, defined terms, and standard protective clauses.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: February 2026