Official form guide
Form 39.03 Declaration As To Compliance With Section *14 *15 Of The Mediation Act 2017
Form 39.03 is a declaration that a party has complied with sections 14 and 15 of the Mediation Act 2017. It is used in court‑related mediation matters to confirm that the required steps have been taken.
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Form Overview
Courts Service of Ireland - Form 39.03 Declaration As To Compliance With Section *14 *15 Of The Mediation Act 2017
Form 39.03 is a declaration that a party has complied with sections 14 and 15 of the Mediation Act 2017. It is used in court‑related mediation matters to confirm that the required steps have been taken.
Risk Radar
Scan points- 1The most common mistake is filing the declaration after the court‑set deadline.
- 2Missing the 14‑day filing window
- 3Signing without confirming the correct section (14 vs 15)
- 4Leaving the explanation field blank when required
- 5Sending the form to the wrong court registry
Plain English
When you go to mediation for a court case, the law asks you to confirm you’ve followed certain rules. This form is your written proof that you’ve done so. You sign it and give it to the court.
Submission Date
- Filing date: The declaration must be filed within 14 days of the mediation outcome or by the date specified in the court order, whichever is earlier.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- When a court orders you to attend mediation and you need to confirm compliance.
- If you have completed mediation and must prove it to the judge.
- When you have a lawful excuse under section 15 for not attending mediation.
- To avoid a breach notice for non‑compliance with the Mediation Act.
- In place of a separate affidavit or letter of compliance.
Form selector
Use this form or another form?
No mediation required
No declaration necessary
✓ Verify that mediation is not ordered
Mediation completed but no declaration filed
Captures outcome details
✓ Use only if outcome details are required
Request to postpone mediation
Explains reasons for delay
✓ Submit before the original mediation date
Form 39.02 (Mediation Adjournment)
Deadline or filing window
The declaration must be filed within 14 days of the mediation outcome or by the date specified in the court order, whichever is earlier.
Before you submit
- 1Downloaded the latest Form 39.03 from courts.ie.
- 2Entered correct case number and parties' names.
- 3Selected the appropriate section (14 or 15).
- 4Provided a concise explanation if required.
- 5Signed and dated the form.
- 6Saved a PDF copy for your records.
- 7Uploaded via e‑filing or addressed the envelope correctly.
- 8Included a cover letter referencing the case.
- 9Checked the filing receipt or post‑mark date.
How to file this form
- 1Access the Courts Service e‑filing portal or obtain a paper copy.
- 2Complete all mandatory fields on Form 39.03.
- 3Attach any supporting documents (e.g., mediation certificate).
- 4Sign the form physically or electronically.
- 5Submit online or post to the court registry indicated on the order.
- 6Save the confirmation email or postal receipt.
- 7Notify your solicitor or the other party that the declaration has been filed.
Known limitations
- 1Only applicable to civil and family cases that involve court‑ordered mediation.
- 2Does not replace a full mediation report; a separate form may be required.
- 3Electronic filing may not be available for all courts.
- 4The form does not capture detailed mediation outcomes.
Field map
Compact field-by-field guide
Proceedings
3 items
The names of the parties exactly as they appear on the originating document.
The court record number for the case, if one has been assigned.
The court and the office where the document is being filed.
Substance
2 items
What you are asking the court to do, or the information the form requires.
The facts relied on and any documents exhibited with the filing.
Execution
1 items
Signed, sworn or certified as the form requires, with proof of service where needed.
Almost done reviewing the fields?
Fillable formOpen in Editor->Form 39.03 is the current version as of 2024. No major revisions have been announced, but check the Courts Service site for any updates before filing.
What changed or needs a fresh check
- Check the form header for the 2024 version date.
- Confirm the case reference field format matches the current court style.
- Verify that sections 14 and 15 wording matches the latest Mediation Act amendment.
- Ensure the signature line includes the electronic signature option if filing online.
Quick Facts
Form Details
- Revision date
- 23/10/25
Downloads & source
Sources
- SRCForm title and number from user input.
- SRCIssuing agency identified as Courts Service of Ireland.
- SRCSections 14 and 15 reference inferred from Mediation Act 2017.
- SRCFiling deadline (14 days) inferred from typical court practice; not confirmed in official source.
- SRCOnline submission via Courts Service e‑filing portal inferred; not confirmed in official source.
- SRCSpecific alternate forms (39.01, 39.02) inferred from numbering pattern; not confirmed in official source.
Common confusion points
Mixing up sections 14 (mandatory mediation) and 15 (exemptions).
Assuming the form can be filed after the trial has started.
Leaving the explanation field blank when a reason is required.
Using an older PDF version that lacks the new signature field.
Sending the form to the wrong court division (e.g., Central Criminal Court).
Thinking the form replaces a full mediation report.
Source transparency
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