Mediators Declaration Of Interest And Qualifications {MSC6}

IC Form MSC6 - MEDIATOR'S DECLARATION OF INTEREST AND QUALIFICATIONS. This form is used by individuals seeking appointment as mediators in cases pending before the North Carolina Industrial Commission. It requires the mediator to declare their qualifications and interests in two sections. The first section is for mediators already qualified pursuant to Rule 11 NCAC 23G.0108(b) and desire appointment in cases pending before the Commission. It requires them to certify their qualifications and agree to accept mediation assignments. The second section is for mediators pursuant to Rule 11 NCAC 23G.0108(c), request that the North Carolina Industrial Commission place their name on the list of mediators with similar qualifications which the Commission makes available to parties selecting mediators in cases pending before the Commission. www.FormsWorkflow.com