Landlord & Tenant Disputes - Request An Appointment Online

Guidance Note - Prior to completing the application:

If you would like to discuss your application with somebody within our Dispute Resolution team, please email [email protected]

Please view the 'Schedule of Fees for all Cases' on our website regarding the application fee.

This application form is the contract between the applicant and Prime Dispute. Prime Dispute will rely entirely upon the information contained herein to help select a 'Neutral(s)' (Arbitrator/Independent Expert). The information submitted on this application is accepted as being accurate and complete. Neither Prime Dispute or the appointed 'Neutral' accept liability in relation to the appointment, if the information provided is inaccurate or incomplete.

Please do not complete this form if you don't want Prime Dispute to collect, store, share with the neutral(s) and process your information. Please note - Prime Dispute will give careful consideration to any representations, but will reach its own decision as to who is appointed.

Service required (Please select): *

Service required - If 'Other', please confirm: *

Request for the appointment of a (please select as appropriate): *

Arbitrator Independent expert Other

* Indicates required field

Request for Appointment - If 'Other', please confirm: *

INFORMATION ABOUT THE PROPERTY & DISPUTE
Prime Dispute needs to know the nature and location of the property to assist the selection of an appropriately qualified and experienced neutral(s). In order to fulfill this requirement, please provide the full postal address including the postcode.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please provide a brief description of the property (e.g. prime office/retail warehouse/retail). If you hold the ‘Permitted Use’/’Use Classes’ and/or any other relevant information: *

Upload File - Additional information (brief description of the property) *

Max file size: 20MB

INFORMATION REGARDING THE LEASE

Date of lease: *

Within the lease are there any special requirements?: *

Yes No

Alleged date of review: *

Amount in dispute/passing rent: £ *

If ‘Yes’, please specify any special requirements, within the lease, that relate to the proposed neutral. This could include useful information such as; ‘qualifications’, ‘knowledge’, ‘time restrictions’, ‘experience’, ‘decision with reasons’. If there are no special requirements please state ‘none’: *

PARTIES & THEIR REPRESENTATIVES
Prime Dispute will take reasonable steps to ensure that the appointed neutral is free from conflict of interests. It is therefore essential that you provide details of the landlord and tenant (including any parent and/or subsidiary companies or related entities that a prospective neutral would need to consider in their conflict checks).

The parties representatives must be stated. Where a party is unrepresented, please ensure email addresses are included (if you have a direct contact number, please also include this). Communications from Prime Dispute are sent by email. Therefore, it is important you provide email addresses.

In the matter of:

Current Landlord *

Current Landlord - Address *

Line 1

Line 2

City

State

Zip Code

Country

Current Landlord - Telephone number *

Current Landlord - Email *

Original Landlord *

Parent/associated companies (Landlord) *

Landlord Representative - Title *

Landlord Representative - Name *

First

Last

Landlord Representative - Address *

Line 1

Line 2

City

State

Zip Code

Country

Landlord Representative - Email *

Landlord Representative - Telephone *

Landlord Representative - Mobile/Direct Line *

Are you the referring party (Landlord)? *

Yes No

Current Tenant *

Current Tenant - Address *

Line 1

Line 2

City

State

Zip Code

Country

Current Tenant - Telephone number *

Current Tenant - Email *

Original Tenant *

Parent/associated companies (Tenant) *

Tenant Representative - Title *

Tenant Representative - Name *

First

Last

Tenant Representative - Address *

Line 1

Line 2

City

State

Zip Code

Country

Tenant Representative - Email *

Tenant Representative - Telephone *

Tenant Representative - Mobile/Direct Line *

Are you the referring party (Tenant)? *

Yes No

Any comments (Landlord Representative) *

Any comments (Tenants Representative) *

CONFLICTS

Prime Dispute will take reasonable steps to ensure that the nominated neutral(s) is free from conflict of interest. It is therefore essential that you provide detail(s) of the parties involved, which include any companies or related entities that a neutral would need to consider in their conflict checks. Neutral(s) are required to disclose involvement or potential conflict of interests to Prime Dispute prior to nomination. Prime Dispute will never knowingly nominate a neutral(s) who has a conflict of interest. If in your view there are any neutral(s)who would have a conflict of interest regarding this matter, you should list them below. Please also provide for such person; brief but clear reasons for this statement. Your attention is drawn to the decision in "Eurocom Ltd -v- Siemens Plc [2014] EWHC 3710 (TCC) " to the effect of misrepresentations in this statement could invalidate the nomination process in its entirety, rendering any decision/award made unenforceable. Your application is accepted on this basis. Please provide the details (i.e: ‘Name(s)’, ‘Firm(s)’ and ‘Reason(s)’). If 'none' please state this: *

FEE

Payment will be required once your application has been received and acknowledged by the Executive at Prime Dispute (please select): *

Pay Online Receive and invoice and pay directly Other

If 'Other' please specify *

Please note: Once you submit your application, it will be sent to our Executive to review. The invoice will include the name and address you have provided above. If you prefer an alternative name or department within the organisation to be named, please specify: *

FINAL STAGE

Application Submitted by - Full name: *

Application Submitted by - Firm: *

Please specify who you are applying on behalf of (e.g ‘Landlord’, ‘Tenant’): *

Date: *

Prime Dispute takes the privacy and security of the personal information you provide seriously. Your details are held in a secure database with access provided to senior Prime Dispute Executives only. We apply data processing policies in compliance with the Data Protection Act 2018. Prime Dispute will not use the information you provide in this request to contact you with offers of products and services. Prime Dispute will not share your information with third parties for the purpose of sending you details of offers of products or services. Please read our Terms and Conditions on our website.

Attach supporting documents
Please attach or email separately any correspondence which you feel may support the administration of the case. Please note, all documents relating to the dispute should only be sent to the neutral(s) once they have been officially appointed by Prime Dispute.

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Submit

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APPLICATION FORMUK - COMMERCIAL LANDLORD & TENANT DISPUTES

APPLICATION FORM
UK - COMMERCIAL LANDLORD & TENANT DISPUTES