Applicant details

Authorising a Representative (Optional)

Respondent details

Time limits

The Act requires that the Applicant notify the Respondent of the intent to make a reference to arbitration.

Dispute Details

Please supply the following information:

Supporting information

Drop files here or click to upload.

Name Uploaded At Actions

The formal proposal should cover the outcome you are seeking, including what proportion of the rent debt you envisage should be repaid, and what schedule the payments can take place on.

There will be an opportunity to supply further information, if needed.

For a list of examples of the type of supporting evidence please see [section X of guidance [link to be inserted when the final guidance is published]:

Monitoring data

The following data will be used for monitoring purposes only.

Declaration (Written Statement of Truth)

I believe the facts stated in this form and any accompanying information are true.

Next Steps

These are the next steps!

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