Please complete the online form, to receive details of 3 neutrals who can assist in your dispute. 
    If you prefer the form in PDF or word document, please email us. Any joint applications must be completed by requesting a copy of our PDF/word document.
    1) Please select from the appropriate box: 
    2) Please select from the appropriate box: 
    3) In the matter of:
    4) Please provide brief details of the dispute/issues (include amounts in dispute if relevant):
    5. Preference of the neutral/s background and skills:
    Party one :
    Party two:
    No fee will be charged by Prime Dispute for the administration of this request. However, it is agreed as a condition of this request that the applicant should discuss any reasonable fees and expenses directly with the neutral (if applicable)*.
    Your request is accepted on the basis that the information you provide is both accurate and complete. Neither Prime Dispute nor the neutral/s can accept liability if the information is inaccurate or incomplete*.

    Conflicts 
    It is essential when you contact the neutral/s that you provide them with details of the parties involved (including any companies or related entities that a prospective neutral would need to consider in their conflict checks). Neutrals are required to disclose involvement or potential conflicts of interest prior to accepting an instruction. 

    Privacy
    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 personal 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.