PART G: Previous Proceedings
**Attach copies of all documents and pleadings presented and the judgement or decision
made by the court, tribunal or arbitrator.**
Facts Relating to the Compliant
Please clearly and concisely explain the complaint or dispute, giving dates and what you think
should be done to put matters right. It is mandatory that you enclose copies of all relevant
correspondence or documents in your possession related to this complaint that may assist us in
addressing the complaint. E.g. evidence of your membership to the scheme such as copy of pay slip or member
You do not have to use this space. If you wish you may complete a separate sheet, typed if possible.
If using handwriting, please write clearly and in black ink (as with the rest of this form). Then attach it below.
PART I: Details of Representatives (If Any)
PART J: Signature
***..Please note that copies of this form and any enclosures or papers received from you will be sent for
comment to the people or bodies that you have named as respondents.***
If signed by the representative, please enclose evidence of authority