SAMPLE MEDIATION APPLICATION FORM

TO THE MEDIATION OFFICE OF THE ISTANBUL COURTHOUSE

APPLICANT (PARTY 1): Name / Title: [Your Name or Company Name]

                                        Turkish National Identity Number / Tax Number: [………………………]

                                         Address: [Your Full Address]

                                         Phone Number: [05.. … .. ..]

OPPOSING PARTY (PARTY 2): Name / Title: [Opposite Party's Name or Company Name]

                                            Turkish National Identity Number / Tax Number: [Please enter if you know it]

                                            Address: [Party's Full Address if Known]

                                            Phone Number: [Phone Number if available]

SUBJECT OF THE DISPUTE: [e.g., Employee-Employer Claim / Commercial Receivable / Rent Dispute / Compensation Claim, etc.]

APPLICATION SUBJECT EXPLANATIONS:

1. We have had an ongoing [business relationship / commercial relationship / lease relationship] with the other party since [Please specify date].

2. The dispute arose due to reasons such as unpaid wages, severance pay, undelivered goods, or eviction requests, stemming from the aforementioned relationship.

3. I request that this dispute be resolved amicably through mediation before resorting to legal action.

MY REQUESTS: While reserving my rights regarding any further claims, I request and demand that mediation be held with the other party concerning the following matters: [e.g., collection of my total receivables of 50,000 TL, eviction from the property, reinstatement to my job, etc.].

CONCLUSION AND REQUEST: In order to resolve the dispute detailed above, and given that the dispute is suitable for mediation, I respectfully request that the case be assigned to the relevant mediator and that negotiations commence. [Date of the Day]

APPLICANT'S NAME AND SURNAME

(Signature)