Help Line: (800) 688-8349, (919) 807-2501, or
Fraud and Insurance Compliance Hotline: (888) 891-4895 or

Mediation Section

NC Industrial Commission Mediation Section

Our Mission

The Mediation Section is responsible for effectively, fairly and efficiently administering the Commission’s mediation program, with the goal of empowering the parties in pending cases to take an active role in the resolution of their disputes, to minimize the need for hearings and appeals, to expedite the dispute resolution process, and to enable the Commission to devote its adjudicatory resources to those cases not conducive to settlement. Deputy Commissioner John C. Schafer is in charge of the Mediation Section.

What We Do

When a claim is contested the parties are generally referred to mediation as a way of resolving the claim without a formal hearing. When an injured worker is not represented by an attorney, the case usually bypasses mediation. The Mediation Section oversees this process by educating the stakeholders concerning mediation theories and procedures, ruling on any motions related to mediation, and by insuring that the parties and mediators adhere to certain timelines, move the case forward, and submit the required forms and reports. While the mediators who serve in these cases are generally not state employees, the mediators on the Industrial Commission’s appointed list must complete a formal mediation training program and be certified by the Dispute Resolution Commission.

Mediator Databases

NCIC Mediator Database

The N.C. Industrial Commission Mediator Database contains information concerning both Mediators on the Commission’s Appointed List (indicated by an "a" in the Status field of the mediator’s record) and Mediators who are not on the Commission’s Appointed List (and thus not eligible for appointment by the Commission) but who can be chosen by the parties as their Mediator. Click the hyperlink below to search the NCIC database.

To search the NCIC Mediator Database, Click Here

DRC Mediator Database

The NC Dispute Resolution Commission provides a database of certified mediators that is much larger and far more comprehensive than the N.C. Industrial Commission mediator database.

To search the DRC Mediator Database, first Click Here. You will be taken to the NC Dispute Resolution Commission Web Site. Once there, click the link entitled, "Mediated Settlement Conference Mediators (Superior Court).”

Site Search

Mediation Forms

The following forms are used in the Mediation Section to request mediation orders, designate mediators, report the results of mediation conferences, and for other related purposes.

For a complete list of all NCIC Forms, Click Here

Form MSC1  Consent Order for Mediated Settlement Conference

Form MSC2  Petition for Order Referring Case to Mediated Settlement Conference

Form MSC3  Order for Mediated Settlement Conference

Form MSC4  Designation of Mediator
MS Word Version of Form MSC4

Form MSC5  Report of Mediator
MS Word Version of Form MSC5

Form MSC6  Mediator’s Declaration of Interest and Qualifications

Form MSC7  Report of Evaluator

Form MSC8  Mediated Settlement Agreement

Form MSC9  Mediated Settlement Agreement - Alternative Form

NOTICE: If you have any questions about these forms, please e-mail Deputy Commissioner John C. Schafer at