Alternative Dispute Resolution (ADR) application form

An example of the application form for the ADR scheme. Send a copy to us by post (address at bottom of page) or by email to adr@doncaster.gov.uk

South Yorkshire Trading Standards Service
Alternative Dispute Resolution Scheme

Please supply the following details:

Your details

Name & address

Telephone number

Mobile number

Email address

The other party's details

Name and address

Telephone number

Contact is normally carried out by email and telephone in order to avoid delays

Preferred contact method(s) - select which are applicable:

Email
Telephone
Mobile
Post

Brief details of your complaint (the Case Officer will contact you for full details)

Provide details of your complaint

Is the trader aware of your complaint? YES/NO

Have you used their internal complaints procedure? YES/NO

Statement

I agree to my complaint being referred to the above ADR scheme. I am aware that details of my complaint may need to be discussed with the other party concerned or relevant experts, and I am happy for necessary disclosure to take place.

Signed

Date

Address to post the application form

ADRS
Trading Standards Service
Civic Office
Waterdale
Doncaster
DN1 3BU