Skip to Content

Change body font size

Lodge a Dispute

To assist the Commissioner to decide whether to commence an alternative dispute resolution procedure, please fill in the below application form.

Leave the following field blank, it is an anti-spam field.


Required

Applicant Details - Individual / Company

Required
Required
Required
Required
Required
Required
Required

Other Party Details - Individual / Company

Required
Required
Required

Briefly describe what the dispute is about

If you have any supporting documents or image files you may be asked to provide them at a later date.

Monetary claim

Please state what is the total monetary claim for this dispute.

What are you seeking?

Please state below what you are seeking to resolve the dispute with the other party.

Captcha
Required
  

Alternatively, you can print and complete this form Application to Lodge a Dispute form (54 kb, PDF)

Forward the completed form and copies of supporting documentation to

Office of the Small Business Commissioner
GPO Box 1264
ADELAIDE SA 5001 

Email sasbc@sa.gov.au

Fax 08 8303 0943

 

Was this page useful to you?

Please include your contact details if you would like us to follow up with you on the issue you have raised. Thank You.