Independent Adjudicatin fr Custmers Ryal Institutin f Chartered Surveyrs (RICS) Applicatin Frm What is this Applicatin fr? This applicatin frm is fr a custmer t bring a claim against a cmpany r an individual wh is a member f RICS. The applicatin frm will ask yu fr the details we will need t understand what has ccurred and what yu wuld like happen. We dn t take sides, a prfessinal adjudicatr will review yur claim and the cmpany respnse befre making a fair decisin based n the evidence. The adjudicatin prcess will take up t 90 days. What d I need t d? Yu must first allw the cmpany an pprtunity t try and address yur cmplaint via their wn cmplaints prcedure. Make sure yu understand the prcess, if yu re nt sure abut anything cntact us fr guidance. Please cmplete this applicatin frm prviding 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. Befre yu can make an applicatin yu must cmplain t the surveyr first and allw them the time t cnduct their wn investigatin int yur cmplaint. Please be aware that we will share everything yu send t us with the cmpany and yu are in dispute with and yu will see everything that they send t us. Please let us knw if yu have any practical needs where we culd help fr example with infrmatin in anther frmat. If yu require assistance in cmpleting this frm please cntact CEDR: By telephne: 0207 53666116 By email: applicatins@cedr.cm Visit the website: www.cedr.cm/cnsumer/rics/ CEDR pening hurs: 8:00am t 6:00pm, 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: Twn: Cunty: Pstcde: Tel: E-mail address: 2. Representatin If yu have a representative acting fr yu, please prvide their details belw. If yu d nt have a representative, please g t part 3. Full name: Organisatin: Street Address: Twn: Cunty: Pstcde: Tel: E-mail 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: Registered in England n. 2422813 Registered Charity n. 1060369 CEDR 2018
3. RICS member cmpany details Surveyr: Cmpany: Street Address: Twn: Cunty: Pstcde: Tel: E-mail address: 4. Issues in dispute Please explain in detail the nature f the dispute yu have with the cmpany. Registered in England n. 2422813 Registered Charity n. 1060369 CEDR 2018
When where the services prvided (give the date f the first wrk undertaken): On what date did yu first cmplain t the cmpany: (Please make sure yu prvide cpies f the cmmunicatins yu had with the cmpany) On what date did the cmplaints prcess end: (Yu will mst likely have received a letter frm the cmpany that tells yu abut CEDR) Cmpany Case Reference: (If the cmpany gave yu a reference number please prvide it here) 5. Nn-financial actins What nn-financial actins wuld yu like the cmpany t take? Please specify any actins that yu wuld like the cmpany t take that d nt relate t mney (that will be cvered in the next questin) such as giving an aplgy r cnducting a further survey. Registered in England n. 2422813 Registered Charity n. 1060369 CEDR 2018
6. Financial claims If yu are seeking mney frm the cmpany please break dwn yur claim by prviding a value fr each item yu are claiming fr and prvide the reasn why yu are claiming that amunt. If the adjudicatr makes a decisin in yur favur, they culd award reslutin up t the ttal cst f the wrk claimed. Example Item Claim Reasn Amunt Claimed ( ) Refund f survey fee The surveyr cancelled the survey appintment 350.00 Please ensure yu recrd everything in this applicatin as yu cannt change these details at a later date. The maximum permitted claim under the scheme is 25,000.00 and all items must be prperly explained and evidence prvided t prve the claim. Item Claim Reasn Amunt Claimed ( ) Please cntinue n a separate sheet if required but ensure the ttal amunt yu are claiming is cmpleted in the next bx belw. Ttal Claimed: 7. Evidence/ Supprting infrmatin In rder t substantiate the claims yu are making yu must submit supprting evidence. This may include anything yu cnsider relevant, such as: Cntracts / agreements terms and cnditins Invices / receipts Letters / Emails / Fax cmmunicatins Phtgraphs / drawings / plans Witness statements Reprts n prduct supplied r wrk carried ut It is yur respnsibility t prvide the evidence that supprts yur claim and yu must prvide it with this applicatin frm. Yu will nt be permitted t submit additinal material later n. Please d nt submit yur applicatin until yu are sure yu have all the dcuments yu wuld like the adjudicatr t cnsider. Registered in England n. 2422813 Registered Charity n. 1060369 CEDR 2018
8. Declaratin Data Prtectin Act The Data Prtectin Act 2018 allws CEDR, RICS and participating cmpanies t prvide infrmatin and/r dcuments abut yu t CEDR Case Administratrs and the adjudicatr with yur cnsent. By cmpleting this frm yu are giving yur cnsent. Please read the fllwing statements carefully befre signing this frm. I have tried t reslve this dispute thrugh the cmpany s internal cmplaints prcedure I have nt previusly referred this dispute t either the Curts r any ther Redress Scheme I cnfirm that I have authrity t cmmit t adjudicatin and apply t CEDR t appint an adjudicatr t determine this dispute in accrdance with the Scheme Rules I understand that it is my respnsibility t btain the infrmatin I need t fully understand the adjudicatin prcess and that I can ask CEDR fr guidance by telephne, email r via the CEDR website I understand that it is my respnsibility t prvide evidence supprting my claim at the time f applicatin I have read and understand the Data Prtectin Act statement n this page I understand that the adjudicatr s decisin will be binding n the cmpany if I chse t accept the findings but if I chse nt t accept it the adjudicatin will be cncluded and neither I nr the cmpany will be required t take any actin. Signature: Print name: Date: Submitting yur applicatin Please submit yur applicatin and supprting evidence t us: By pst: Centre fr Effective Dispute Reslutin 70 Fleet Street Lndn EC4Y 1EU By email: applicatins@cedr.cm Registered in England n. 2422813 Registered Charity n. 1060369 CEDR 2018