Construction Debt Portal

Fields marked with * are required

Company Name*

Company Address*

Your Name*

Your Position*

Email*

Telephone*

Nature of Company’s Business*

Name of Debtor*

Address of Debtor*

Contact Telephone Number for Debtor

Email Address for Debtor

What is the Debt Amount?*

Please provide a copy of the invoices / applications for payment

Please provide a copy of the contract / agreement / terms & conditions if applicable

If there is no written contract/agreement/ terms and conditions please provide details of what was agreed between the parties, including 1. who the agreement was with (names of individual people and positon), 2. the date the agreement was made, 3. what were the exact terms agreed 4. was there any agreement as to the payment process during the course of your i.e (stage payments/instalments/monthly applications/period payments) 5. Please can you explain, as far as possible, what the precise payment terms were.

Please briefly describe the nature of your works.

Is your contract with a Residential Occupier? A residential occupier means a construction contract which principally relates to operations on a dwelling which one of the parties to the contract occupies, or intends to occupy, as his residence.

Yes

No

Was it specified that your works would last for less than 45 days?

Yes

No

Was it agreed between the parties that the works were estimated to last for less than 45 days?

Yes

No

Have you received any form of Payment Notice, as to the sum the Debtor considers to be due?

Yes

No

Please provide a copy of any Payment Notices

Have you received any payment towards the invoices?

Yes

No

If so, when and for what sum?

Do you have confirmation of the debtor agreeing to pay?

Yes

No

If so, please provide details

Have you received any form of Pay Less Notice by the debtor (a notice of an intention to pay you less than the sum invoiced/applied for)?

Yes

No

If so please provide a copy of any such notice

If you have not received any form of Pay Less Notice are you aware if the debtor is disputing the debt?

Yes

No

If so, why?

Was it a term of the contract for interest to be added?

Yes

No

If so, what % was agreed?

Please provide details of any third parties i.e. collateral warranties/guarantors/agents

Are you aware of any agreement to resolve disputes by way of Adjudication?

Yes

No

If so, please provide details of any agreement in respect of Adjudication including any agreed nominating body.

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