Independent Arbitration for Customers. Application Form
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- Kristin Townsend
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1 Independent Arbitratin fr Custmers Cavity Insulatin Guarantee Agency (CIGA) Applicatin Frm What is this Applicatin fr? This applicatin frm is fr the custmer t bring a claim against a CIGA Registered Installer if they have nt been able t reslve the cmplaint directly with the Installer and after escalating the cmplaint t CIGA. The applicatin frm will ask yu fr the details needed t understand what yu wuld like the installer t d under the CIGA Guarantee. Arbitratin is legally binding under the Arbitratin Act f 1996 and can nly be appealed in the High Curt n a very narrw set f circumstances related t prcedure. What d I need t d? Please read the Scheme Rules carefully befre yu fill in and return this frm. They shuld be attached t this applicatin frm and can als be fund n the CEDR website. Fill in the applicatin frm giving as much infrmatin as yu can. It may take yu sme time t g thrugh the applicatin frm and t get all yur facts tgether, but having all the infrmatin will help us assess yur case fairly. This prcess is cnducted entirely in writing. Yu must ensure that yu prvide sufficient infrmatin and supprting evidence t substantiate yur claim. Applicants are required t submit an applicatin fee f 120 ( 100+VAT) The fee will be refunded by the installer by rder f the arbitratr if yur claim is successful. Befre yu can make an applicatin: Yu must first use and exhaust the Installer s wn cmplaints prcedure. Yu must refer the matter t CIGA. Yu must reach a pint where CIGA has issued yu with an applicatin frm. Please let us knw if yu have any practical needs where we culd help fr example with infrmatin in anther frmat (e.g. larger print, anther language, etc.). If yu require assistance in cmpleting this frm please cntact CEDR: By telephne: By applicatins@cedr.cm Visit the website: CEDR pening hurs: 9:00am t 5:00pm, Mnday t Friday IMPORTANT: SAVE A COPY OF THIS PDF ON YOUR PC BEFORE COMPLETING AND UPLOADING THIS FORM. IF YOU COMPLETE THIS FORM IN YOUR BROWSER YOU WILL NOT BE ABLE TO SAVE IT AND IT WILL APPEAR BLANK WHEN UPLOADED. 1. Abut yu (the Custmer) Please give us yur details. Full name: Street Address:
2 Independent Arbitratin fr Custmers (CIGA) Twn: Pstcde: Cunty: Tel: address: 2. Representatin If yu have a representative acting fr yu, please give details belw. If yu d nt have a representative, g t part 3. Full name: Organisatin: Street Address: Twn: Pstcde: Cunty: Tel: address: (If yu give the address f a representative, this is the address we will write t abut this applicatin.) T be signed by the custmer I hereby give my authrity fr the abve named persn t represent me: Signature: Print name: Date: 3. Installer s details Installer s name: Street Address: Twn: Pstcde: Cunty: Tel: address: Page 2 f 6
3 Independent Arbitratin fr Custmers (CIGA) 4. Issues in dispute In the space belw, please tell us what service r event yu cmplained t the installer abut. Date the wrk was carried ut: Guarantee Number: Date yu first cmplained t the Installer: CIGA Case Reference: Date yur referred the matter t CIGA: Page 3 f 6
4 Independent Arbitratin fr Custmers (CIGA) 5. What specific actins wuld yu like the Installer t take? The arbitratr has the pwer t rder the installer t take ne r mre f the fllwing specified actins: Give yu an aplgy; Cmplete specified wrks t rectify a defect in the materials r wrkmanship; Cmplete specified wrks t rectify damage that directly results frm a defect. In the bx belw, please prvide details f the actins yu wuld like the arbitratr t rder the installer t undertake: Example: Actin Remve insulatin frm wall cavity and redecrate damaged wall Reasn Cndensatin caused by insulatin has caused rising damp, see attached phtgraphs. Actin Reasn 6. Are yu asking the arbitratr t award yu cmpensatin? The arbitratr can als rder the installer t pay yu a nminal sum f up t t recgnise a pr standard f custmer service. Wuld yu like the arbitratr t rder the installer t d this if yur claim is successful? Yes N Please nte the arbitratr can nly rder cmpensatin up t a maximum f 100 under this scheme Page 4 f 6
5 Independent Arbitratin fr Custmers (CIGA) 7. Declaratin Data Prtectin Act The Data Prtectin Act allws CIGA and CIGA Registered Installers t prvide infrmatin and/r dcuments abut yu t CEDR Scheme administratrs and the arbitratr with yur cnsent. By cmpleting this frm yu are giving yur cnsent. Please read the statements belw and tick all the bxes befre signing this frm. I understand that it is my respnsibility t btain the infrmatin I need t fully understand the arbitratin prcess and that I can ask CEDR fr guidance by telephne, r via the CEDR website. I apply t CEDR t appint an arbitratr t settle this dispute in accrdance with the Scheme Rules. I have the authrity t cmmit t arbitratin. I have tried t reslve this matter thrugh the Installer s cmplaints prcedure and via CIGA I understand that it is my respnsibility t prvide evidence supprting my claim and I attach my dcuments / materials, as evidence t supprt my claim. I have nt previusly referred this dispute t either the Curts r any ther Redress Scheme. I understand the claim cannt exceed the relevant CIGA Guarantee. I understand that the arbitratr s award will be legally binding n bth parties. I enclse payment f 120 ( 100 plus VAT) made payable t CEDR Services Ltd. Signature: Print name: Date: Submitting yur applicatin Nw please submit yur applicatin and supprting evidence t us: By pst: By CIGA Arbitratin Centre fr Effective Dispute Reslutin 70 Fleet Street, Lndn, EC4Y 1EU applicatins@cedr.cm IMPORTANT: SAVE A COPY OF THIS PDF ON YOUR PC BEFORE COMPLETING AND UPLOADING THIS FORM. IF YOU COMPLETE THIS FORM IN YOUR BROWSER YOU WILL NOT BE ABLE TO SAVE IT AND IT WILL APPEAR BLANK WHEN UPLOADED. Page 5 f 6
6 Independent Arbitratin fr Custmers (CIGA) Payment frm Please make cheques payable t CEDR Services Limited r yu may pay by debit r credit card by cmpleting this frm Persnal Details First name: Last name: Telephne: Street: Twn/City: Cunty: Pst Cde: Payment Details Invice Number: (if knwn) Amunt t pay: ( 100+VAT) Name n Card: Payment Methd: Card Number: Start Date: (if shwn) Security Cde: Expiry Date: Additinal Cmments: Page 6 f 6
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