Mediation Request Form and Instructions

Return to all Forms & Documents: Commonly used forms and Organic System Plan (OSP) pages you may need.


CCOF is continuing our services with our staff working safely from home. Although response times may be slower, we are here to support you. We welcome new applications to join the CCOF-certified family. Visit our Crisis Resilience page for updates and crisis resilience resources.
Lea este mensaje en español.

An operation may request mediation concerning a notification of Denial of Certification, Proposed Suspension, or Proposed Revocation directly to CCOF in writing. CCOF may accept or deny the request for mediation and will communicate the decision to accept or deny in writing. The goal of mediation is to enter into a Settlement Agreement.

En Español

PDF: 
AttachmentSize
PDF icon Mediation_Request_Form.pdf292.96 KB
Fillable Form: 
AttachmentSize
File Mediation_Request_Form.docx1.48 MB