Application to Building and Property List (Building) Page 1 of 10 Building and Property List Civil Division Office use only Application to Building and Property List (Building) Building and Property List, Victorian Civil and Administrative Tribunal 03 9628 9999 http://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 sufficient) 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
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Application to Building and Property List (Building) · Application to Building and Property List (Building) Page 2 of 10 Email Company (if the applicant is a company) ACN * Company
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Application to Building and Property List (Building) Page 1 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
Application to Building and Property List (Building) Page 2 of 10
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
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
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)
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 *
Application to Building and Property List (Building) Page 3 of 10
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
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
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
Contact personTitle * Surname * Given name 1 * Given name 2
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) *
Suburb / Town * State * Postcode *
Contact detailsPlease provide at least one phone number *
Business phone( )
Area code Number
After hours phone( )
Area code Number
Mobile
Number
Fax number( )
Area code Number
Application to Building and Property List (Building) Page 4 of 10
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)
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 detailsPlease 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
Application to Building and Property List (Building) Page 5 of 10
Company (if the respondent 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
Address (PO Box address is not su�cient)
Street address *
Suburb / Town * State * Postcode *
Contact detailsPlease 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
Respondent 2
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)
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 detailsPlease provide at least one phone number *
Business phone( )
Area code Number
After hours phone( )
Area code Number
Mobile
Number
Fax number( )
Area code Number
Application to Building and Property List (Building) Page 6 of 10
Email
Company (if the respondent 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
Address (PO Box address is not su�cient)
Street address *
Suburb / Town * State * Postcode *
Contact detailsPlease 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
Respondent 3
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)
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 *
Application to Building and Property List (Building) Page 7 of 10
Contact detailsPlease 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 respondent 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
Address (PO Box address is not su�cient)
Street address *
Suburb / Town * State * Postcode *
Contact detailsPlease 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
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 *
Application to Building and Property List (Building) Page 8 of 10
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.
Application to Building and Property List (Building) Page 9 of 10
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