Mediation and Appeal Request

SEND Mediation and Appeal Request

Important Information

The information provided in the below video contains essential information to enable you to make an informed decision of either participating in the mediation process or proceeding directly to the SEND First-tier Tribunal.


Please ensure before filling in the form below, you have watched the video or read the SEND Connect Appeals and Information Booklet, which you can download using the "Download as PDF" button below the Mediation and Appeal Information Video.


Once you have watched the video or read and understood the information provided, please complete the form at the bottom of this page which provides the information necessary for Collis Mediation Ltd to process your request regarding your disagreement.


When completing the below form, please note the fields marked with an asterisk * must be completed.


If you do not provide the LA notification letter with the form below, a copy of the letter must be sent via email to register and process your request.


If you experience any difficulties using the form below, please use the contact page here. Please note, all correspondence and voicemails will be responded to within 3 working days.


Please note- In-line with SEND First-tier Tribunal hearings through Her Majesty’s Courts and Tribunals Service, all mediations for the foreseeable future will be ‘remote mediations’ via our Connect Mediation platform.

Mediation and Appeal Information Video

Please pause the video below by clicking either the pause button on the controls at the bottom of the video or by clicking the centre of the video itself.

You can obtain support to complete the below referral form

through school, SENDIASS or anyone of your choice.


If you are unable to submit your appeal request using the below form, contact a Collis Mediation Ltd specialist advisor 07715 958 290 for additional support.

Submit Request

* Please note, if the young person is over compulsory school age, we will also require a signed letter of consent explaining they are happy for you to manage the appeal process on their behalf. An example of the consent letter can be found here




Please select your options in relation to School Participation in the mediation process, as a duty holder in law *

** Where the parties cannot agree on attendees of a mediation session, the mediator will determine attendees (SEND Regs 2014 38(1)(e))





This section is only in relation to any needs or disabilities you may have that may require reasonable adjustments to our service


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