The of the construction site is: OWNER: Address for service: Telephone: Email: Attention: DETAILS OF THE CONSTRUCTION CONTRACT Provide details of the construction contract to which the dispute relates. Contract: Project: Site Location: Date contract entered into: THE DISPUTE Is your claim brought on the basis of: (please select one option below) (a) default liability only (ie payment as debt due under sections 22 24 of the Act); – (b) the merits under the contract; or (c) both default liability and the merits under the contract. Provide a brief description of the dispute, the nature and details of the matters in dispute, and where and when the dispute arose. The nature and a brief description of the matters in dispute: Where and when the dispute arose: THE RELIEF OR REMEDY THAT IS SOUGHT BY THE CLAIMANT The claimant seeks the following relief and/or remedy against the respondent: Please DELETE the appropriate response to each of the following:
The of the construction site is: OWNER: Address for service: Telephone: Email: Attention: DETAILS OF THE CONSTRUCTION CONTRACT Provide details of the construction contract to which the dispute relates. Contract: Project: Site Location: Date contract entered into: THE DISPUTE Is your claim brought on the basis of: (please select one option below) (a) default liability only (ie payment as debt due under sections 22 – 24 of the Act); (b) the merits under the contract; or (c) both default liability and the merits under the contract. Provide a brief description of the dispute, the nature and details of the matters in dispute, and where and when the dispute arose. The nature and a brief description of the matters in dispute: Where and when the dispute arose: THE RELIEF OR REMEDY THAT IS SOUGHT BY THE CLAIMANT The claimant seeks the following relief and/or remedy against the respondent: Please DELETE the appropriate response to each of the following:
Template%20Notice%20of%20Adjudication%20including%20Guidance%20Notes%20(ID%2059777).docx