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Instructions for Mediator Applications and Profile Editor

Initial Applications

Applications must be submitted electronically using the "Application Process for Mediators" link below. A completed PDF "Application for Admission to Bankruptcy Mediation Program Register" form must be uploaded during the application process. Please complete and save the PDF before starting the electronic application process.

Applicants to the mediation panel must have completed 40 hours of mediation training, at least 16 of which must have been participating in simulated, facilitative mediations.

If you have ever been appointed to the Bankruptcy Mediation Program in U.S. Bankruptcy Court for the Western District of Pennsylvania DO NOT submit this form. Please use the Annual Application Renewal process below.

Step 1. Complete and save the Application for Admission to Bankruptcy Mediation Program Register PDF document

Step 2. Complete the web based Application Process for Mediators form and upload the PDF file from Step 1 before clicking the "Submit" button.

Your application will be reviewed and all successful applicants will be notified by email.


Annual Application Renewal

Submit the Annual Application Renewal


Mediation Conference Report/Survey

Submit Mediation Conference Report/Survey forms


Profile Editor

Approved Mediators are permitted to edit their profile to ensure their information is current. Links on this page also allow Approved Mediators to submit their Annual Application Renewal and Mediation Conference Report/Survey forms.

Mediator Profile Editor


Mediation Program System Improvements


Help making PDF files.

Local Bankruptcy Form 31 is an Acrobat file with fields that enable you to key your information onto the form. The free Acrobat Reader does not allow you to save the completed form. If you cannot save the application form try one of the following methods to prepare the application for submission.

Many scanners and multi-function printers are able to scan paper to a PDF file. If you have a scanner or multi-function printer fill out the form using Acrobat Reader and print it to paper then scan the paper copy to a PDF file.

If you do not have a scanner or multi function printer you can fill out the application using Acrobat Reader, print it to paper and have a copy center convert the paper document to PDF format for you.

There are free programs available on the Internet that allow you to generate PDF files. Tutorials are also available from various sources to assist you. The court cannot assist you with any programs or utilities you choose to install on your computer. Only download programs from trustworthy, reliable web sites.