Applications for Family Mediators

Initial License

• Initial Application Checklist
• Initial Applicants Certification Process and Requirements
• Initial Application Part 1: Public Information
• Initial Application Part 2: Confidential Personal Data
• Additional Requirements
• Intern's Case Summary Form  (A separate form is required for each case submitted).
• Intern Evaluation Form (An evaluation is required for each case submitted).
• Certified Mediators Willing to Take on Interns

Mail your completed application, required forms and payment to:

Office of Professional Licensure & Certification
7 Eagle Square
Concord, NH 03301

Forms of Payment Accepted for Paper Applications: Personal Check, Money Order or Cashier's Check

Renewal of License

Visit: Online Applications for Renewal   

• Renewal Application Checklist

 

About Renewing Your License Online

• Renewing Your License Online

Customer Support 

7 Eagle Square, Concord NH 03223
Hours: 8:00 AM - 4:00 PM

Directions: Google Maps