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Application Forms

The deadline for receipt of complete applications to be reviewed at a Board meeting is one week before the Board meeting. In addition, all fees are non-refundable.

Forms for Initial Certification as a Family Mediator

Forms for Renewal of Certification as a Family Mediator

Certification of Training Programs - Initial or Renewal

The Board's office is located in Office of Professional Licensure and Certification, 121 South Fruit Street, Concord, NH 03301. The telephone number is (603) 271-2219. The Board's e-mail address is Messages are answered on a weekly basis.

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Family Mediator Certification Board
121 South Fruit Street  |  Concord, NH 03301
Telephone: 603-271-2219  |  Fax: 603-271-7928