Application to Building and Property List (Building) · Application to Building and Property List...

Application to Building and Property List (Building) of 10

Building and Property List Civil Division

O�ce use only

Application to Building and Property List (Building)

Building and Property List, Victorian Civil and Administrative Tribunal03 9628 9999http://www.vcat.vic.gov.au

Fields marked with an asterisk (*) must be completed.

Do you need to complete this form?

- Use this form if you want VCAT to hear your domestic building dispute. The Building and Property List of VCAT exists to resolve disputes between owners, builders, sub-contractors, architects, insurers and certain others.

- If you do not understand any of the questions on the form or require further help phone the VCAT Customer Service on 9628 9999. VCAT's website has useful information including video footage showing how hearings are conducted and access to legislation, please refer to the VCAT website.

Applicant details

Applicant 1

Type of applicant *

Owner Builder Sub-contractor Architect Other

Please specify *

Is the applicant an individual or a company? * Individual Company

Name (if the applicant is an individual)

Title * Surname * Given name 1 * Given name 2

If the individual/s trades under a business name, please specify

ABN Business name

Address (PO Box address is not su�cient)

Street address *

Suburb / Town * State * Postcode *

Contact details Please provide at least one phone number *

Business phone( )

Area code Number

After hours phone( )

Area code Number

Mobile

Number

Fax number( )

Area code Number


Email

Company (if the applicant is a company)

ACN * Company name

If the company trades under a business name, please specify

ABN Business name

Contact personTitle * Surname * Given name 1 * Given name 2


Street address *



Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email

Applicant 2

Type of applicant *

Owner Builder Sub-contractor Architect Other

Please specify *

Is the applicant an individual or a company? * Individual Company

Name (if the applicant is an individual)



ABN Business name


Street address *




Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email

Company (if the applicant is a company)

ACN * Company name


ABN Business name



Street address *



Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email

Is the applicant represented? * Yes No

If yes, please enter details in the next section.

Applicant's representative details

Name of law �rm or other representative * Representative's reference


Address (Please note, if there is a named representative all correspondence will be sent to your representative’s address)

Street address (PO Box address or DX is acceptable) *


Contact detailsPlease provide at least one phone number *

Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number


Email

Site details

Site address 1Street address *

Suburb / Town * State *VIC

Postcode *

Site address 2Street address *

Suburb / Town * State *VIC

Postcode *

Respondent details

Respondent 1

Type of respondent *

Owner Builder Sub-contractor Architect Insurer Other

Please specify *

Is the respondent an individual or a company? * Individual Company

Name (if the respondent is an individual)



ABN Business name


Street address *



Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email


Company (if the respondent is a company)

ACN * Company name


ABN Business name



Street address *



Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email

Respondent 2



Please specify *





ABN Business name


Street address *



Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number


Email


ACN * Company name


ABN Business name



Street address *



Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email

Respondent 3



Please specify *





ABN Business name


Street address *




Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email


ACN * Company name


ABN Business name



Street address *



Business phone( )

Area code Number


Area code Number

Mobile

Number

Fax number( )

Area code Number

Email

Claim details - What do you want VCAT to do?

I apply to the Tribunal for the following orders - *

Payment of money (including damages) Order to comply with a contract (eg. recti�cation or completion of building work)

Vary or cancel a contract Vary or reverse a decision of an insurer Other

Please specify *


On the following grounds - *

What is the value of your total claim? *

Is this application about a review of an insurer's decision? * Yes No

If Yes, please provide the following details

Insurer's reference number * Date decision received *

Are you making this application in response to another application in the VCAT Domestic Building List that has been served on you? *

Yes No

If Yes, please enter the VCAT �le number

VCAT �le number *

Hearing arrangements

If you believe that security may be needed at the hearing, please contact the Tribunal immediately after you have lodged your application in order to have satisfactory arrangements made.

Does the Applicant or Respondent require an interpreter at the hearing? * Yes No

Name of person requiring an interpreter

Title Surname * Given name 1 Given name 2

Language/dialect *

Does any person at the hearing require any other special assistance? * Yes No

Please specify what special assistance is required *

Are you seeking an injunction (an urgent order to stop a party doing something or to compel a party to do something)? *

Yes No

If Yes, there is an additional fee if you are applying for an injunction.


Supporting documents

You must provide documents that support your application. For further information, please refer to the Application Guide.

Points of Claim Further details of your claim.

Expert Report(s) Reports provided by individuals with particular expertise in a relevant area to support your claim.

Schedule of Parties Where the number of parties to the dispute exceeds the sections provided on the application form, please complete and attach the schedule available from VCAT.

Other supporting documents Other supporting documents including quote(s)This can be , invoice(s) or receipt(s), copy of contract(s), photographs, correspondence etc.

If providing attachment electronically, please supply as: docx;xls;doc;pdf

Acknowledgement

I understand and acknowledge that: • To the best of my knowledge, all information provided in this application is true and correct and that no details relevant to the application

have been left out. • I approve the information that has been provided. • Victorian Civil and Administrative Tribunal Act 1998 to knowingly give false or misleading

information to VCAT.

*

Full name of person completing this application * Date *

Signature of person completing this application *

Privacy statement

The information collected in this application will be used to assess the application and determine eligibility to initiate a proceeding at the Victorian Civil and Administrative Tribunal (VCAT). The Victorian Civil and Administrative Tribunal Act 1998 governs what information is available to the public. The Information Privacy Act 2000 (the Act) and the Victorian Privacy Principles set out the requirements that persons must abide by. Section 10 of the Act refers to Courts and Tribunals and the exemptions that apply to them. For further information regarding VCAT's privacy policy, please visit the VCAT website.

Lodgement

You can lodge this completed form and any attachments online or by:

Mailing it to:Victorian Civil and Administrative TribunalBuilding and Property ListGPO Box 5408 Melbourne VIC 3001

Delivering it in person to:Victorian Civil and Administrative TribunalBuilding and Property ListGround Floor, 55 King StreetMelbourne VIC 3000

(closed public holidays)

Telephone: 03 9628 9999

Email: [email protected]

Website: http://www.vcat.vic.gov.au


About VCAT fees

VCAT fees are charged according to three levels:• corporate fees

government agencies

• standard fees

• concession fees for people who hold the Australian Government Health Care Card. You must provide a copy of your card with your application.

Fee relief

No - complete Fee payment section

Yes - complete Fee relief form and attach it to this application form

We can reduce or not charge (waive) a VCAT fee in certain circumstances.

Some people are automatically entitled to a full fee waiver. You can also apply for fee relief if paying the fee would cause you

Visit www.vcat.vic.gov.au for more information about fee relief.

Are you applying for fee relief?

Fee payment

Complete this section unless you are applying for fee relief or no fee is payable.

Choose the fee level:

Standard Corporate Concession

Fee amount charged:

CARD DETAILS

Cards Accepted: *

Card Number: *

Card Expiry: *

VISA MasterCard

yymm

Cardholder Name: *

Signed: *

Date: * mm /

/

yyyydd /

Card Expiry: * Remove this page when sending a copy of this application to other parties

To �nd out if you need to pay an application fee and how much it costs, visit the fees page at www.vcat.vic.gov.au

Application to Building and Property List (Building) · Application to Building and Property List...

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