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Participate in our expert training programs to cultivate skills in becoming an effective accredited family mediator with FAMAC.

Use the form below to request the appointment of a Parenting Coordinator or download the form and email it, together with the relevant documents to info@famac.co.za

Have the following documents ready before submitting your request form.

The application must include:

A copy of the relevant court order and any current parenting plan.
Evidence that the parties have attempted to agree on the appointment of a PC (such as correspondence or meeting notes).
Any resignation letter(s) from previous mediators or Parenting Coordinators, if applicable.

Name of person requesting the appointment of a PC

Surname of person requesting appointment of PC

How can we reach you via email?

How can we reach you via phone?

Important things to note:

PLEASE TAKE NOTE:

1. Should the co-chair only receive one form, FAMAC will appoint a PC / Mediator based on the information provided.

2. A PC can only be appointed if there is a court order in place, and the court order authorises FAMAC to appoint a PC.

3. Where previously appointed PCs have resigned, FAMAC may, in its discretion, decline to appoint a PC if justifiable circumstances exist.

4. If the form is not completed in full, FAMAC reserves the right not to appoint a PC / mediator.

5. FAMAC accredited PCs and/or mediators charge a professional fee which may be up to R 3,000.00 per hour (excluding VAT), depending on the profession and experience of the PC. By requesting the appointment of a PC or mediator, the parties confirm that they are aware of the general fee structure of PCs and mediators, and they agree that a PC or mediator may be appointed.

6. While all attempts will be made to appoint a PC who works in the general geographical area where one or both of the parties resides, this is not always possible.

7. It is important to note that FAMAC's role will be limited to the appointment of a PC / mediator, and that a contractual relationship will then arise between the parties and the PC / mediator.

PLEASE TAKE NOTE: 
 
1. Should the co-chair only receive one form, FAMAC will appoint a PC / Mediator based on the information provided. 
 
2. A PC can only be appointed if there is a court order in place, and the court order authorises FAMAC to appoint a PC. 
 
3. Where previously appointed PCs have resigned, FAMAC may, in its discretion, decline to appoint a PC if justifiable circumstances exist. 
 
4. If the form is not completed in full, FAMAC reserves the right not to appoint a PC / mediator. 
 
5. FAMAC accredited PCs and/or mediators charge a professional fee which may be up to R 3,000.00 per hour (excluding VAT), depending on the profession and experience of the PC. By requesting the appointment of a PC or mediator, the parties confirm that they are aware of the general fee structure of PCs and mediators, and they agree that a PC or mediator may be appointed. 
 
6. While all attempts will be made to appoint a PC who works in the general geographical area where one or both of the parties resides, this is not always possible. 
 
7. It is important to note that FAMAC's role will be limited to the appointment of a PC / mediator, and that a contractual relationship will then arise between the parties and the PC / mediator.

Is the appointment of a PC done through a court order or by agreement between the parties (no court order)?

The appointment of a PC is authorised in a court orderThe appointment of a PC is by agreement between the parties

Please upload a copy of the court order

Upload a copy of the court order (required)

Mandate:

In terms of the abovementioned paragraph of the Court Order issued the abovementioned court on date and under the case number, the Plaintiff / Applicant Defendant / Respondent have not been able to agree on a Parenting Coordinator / Mediator and subsequently request FAMAC to appoint a PC / mediator in terms of the provisions of the order.

Was a PC previously appointed to your matter?

Yes, I had a PC previously appointed to our matter No, there was no PC appointed previously in our matter

Upload the termination letter

Important notes on previous PC details:

NB:

1. If previous PC(s) / mediator(s) resigned, please attach resignation letter(s).

2. If PC(s) / mediator(s) did not resign, please provide proof:
(a) That both parties agree(d) to termination of the mandate of the appointed PC(s) / mediator(s);
OR
(b) A court order terminating the mandate of the PC / mediator.

Identifying details of the applicant

Identifying details of the respondent

Please confirm the following:

Yes, I confirm that if no PC is available in my geographical area, the appointment of a PC outside of my geographical area is acceptableYes, I confirm that I am willing to for PC sessions to be conducted online, if necessary.Yes, I am aware of the fees associated with the services of a PC / Mediator, and I agree to the appointment of a PC / Mediator.

POPIA consent

I hereby agree to provide my personal information (as this term is understood in the Protection of Personal Information Act, “POPIA”) to the Family Mediators’ Association of the Cape (FAMAC), on the express understanding that: This constitutes my consent, as required under POPIA. The staff and/or executive committee members of FAMAC will have access to my personal information, which has been furnished to them for the purposes of appointing a PC / mediator. The staff and/or executive committee members of FAMAC are authorised to share my personal details with the appointed PC / mediator. The personal data will be used only for the purposes of appointment of a PC / Mediator in terms of this consent. The staff and/or executive committee members of FAMAC may contact me by whatever means necessary for to obtain further information from me which may be necessary in the course of considering the request for the appointment of a PC / mediator.

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