Send Me a Mediation Awareness Certificate

Important Information

You have decided not to engage in SEND Mediation with the Local Authority and would like a Mediation Awareness Certificate, so you can proceed direct to the First-tier Tribunal.


The content of the appeal information video shared on the previous page is essential information to enable you to make and informed decision. If you need to watch the appeal information video again, please click here.


If you are happy to proceed with your current choice, please complete the form below in full. When completing the below form, please note the fields marked with an asterisk * must be completed.


If you do not provide the LA notification letter with the form below, a copy of the letter must be sent via email to register and process your request.


If you experience any difficulties using the form below, please use the contact page here. Please note, all correspondence and voicemails will be responded to within 3 working days.

Start Your Certificate Request Using The Form Below

You can obtain support to complete the below referral form

through school, SENDIASS or anyone of your choice.


The contact details for your local SENDIASS service were contained in the letter from the Local Authority that confirmed your right of appeal, or you find your local SENDIASS service here.

Mediation Awareness Certificate Request Form

* Please note, if the young person is over compulsory school age, we will also require a signed letter of consent explaining they are happy for you to manage the appeal process on their behalf. An example of the consent letter can be found here



Upload the first page of LA Notification letter here  (Or send in a separate email)


This section is only in relation to any needs or disabilities you may have, that require reasonable adjustments to access our service


Agreement to Personal Data Processing