Appeal against a financial penalty under section 249A of the Housing Act 2004

Published date21 March 2018
First-tier Tribunal Property Chamber

First-tier Tribunal Property Chamber
(Residential Property)

Ref no. (for office use only)

Appeal against a financial penalty under section 249A of the Housing Act 2004

Paragraph 10 of schedule 13A to the Housing Act 2004

It is important that you read the notes below very carefully before you complete this form.

This is the correct form to use if you wish to appeal against a financial penalty which a local housing authority has imposed upon you and the local housing authority has given you a “final notice”.

A fee is payable for this application (see section 10 for Help with Fees). The fees are set out in this form.

Applications should be sent as a Microsoft Word document by email to the relevant regional tribunal address shown in the Annex to this form. You must also send by email the appropriate documents listed in section 10 of this form. If you cannot access email or find someone to assist you in lodging your application by email, then a paper application will be acceptable although there may be a delay in dealing with this. Sending an application on paper will not be suitable in urgent cases.

You can now pay the the fee (if applicable) by an on-line banking payment or by cheque/postal order enclosed with the application form.

If you want to be sent online banking payment details by email, please tick this box

Please make sure a copy of the application is served on the other party/parties to the application. If you are unable to serve a copy on the other party/parties, please bring this to the tribunal’s attention in the covering email or if sending by post in a covering letter.

Please do not send any other documents. When further evidence is needed, you will be asked to send it in separately.

If you have any questions about how to fill in this form, the fee payable, or the procedures the Tribunal will use please contact the appropriate regional office.

If you are completing this form by hand please use BLOCK CAPITAL LETTERS.

  1. DETAILS OF APPLICANT (S)

Name:

Address (including postcode):

Address for correspondence (if different from above):

Telephone:

Day:

Evening:

Mobile:

Email address:

Fax:

Representative name and address, and other contact details: Where details of a representative have been given, all correspondence and communications will be with them until the Tribunal is notified that they are no longer acting for you.

Name:

Reference no. (if any)

Address (including postcode):

Telephone:

Day:

Mobile:

Email address:

Fax:

  1. ADDRESS (including postcode) of SUBJECT PROPERTY

  1. BRIEF DESCRIPTION OF PROPERTY (e.g.2 Bedroom flat in converted house with 6 flats)

  1. DETAILS OF LOCAL HOUSING AUTHORITY

Name:

Address (including postcode):

Address for correspondence (if different from above):

Telephone:

Day:

Evening:

...

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