All forms below are in Microsoft Word format. You can download a free reader from Microsoft.

NOTE: 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 Marital Mediator

• Letter to All Initial Applicants
• Personal Information
• Public Information
• Intern Case Summary - Note: a separate form is required for each case submitted
• Intern Evaluation - Note: an evaluation must be submitted for each case submitted on Form B
• Checklist
• Certified Mediator Listing Information

Forms for Renewal of Certification as a Marital Mediator

• Personal Information
• Public Information
• Checklist
• Certified Mediator Listing Information

Certification of Training Programs - Initial or Renewal

• Letter to Initial Applicants
• Application
• Staff Information: Director
• Staff Information: Trainer
• Staff Information: NH Law Specialist
• Staff Information: DV Specialist.
• Certified Training Program Listing Information

The Board’s office is located in the NH Judicial Council, Room 424, State House Annex, 25 Capital Street, Concord, NH 03301. The telephone number is (603) 271-6593. The Board's e-mail address is marital.mediator@nhsa.state.nh.us . Messages are answered on a weekly basis.