Reference notice (Financial Services)
| Published date | 21 March 2018 |
| Subject Matter | Chancery forms |
FTC3 (06.18) Page 1 of 5
Upper Tribunal
(Tax and Chancery Chamber)
Office stamp
(date received)
Reference notice
(Financial Services)
Use this form to make a reference or appeal to the Upper Tribunal disputing a decision of
the Financial Conduct Authority, the Prudential Regulation Authority, the Pensions
Regulator, the Bank of England or an Independent Valuer under the Banking (Special
Provisions) Act 2008 (BSPA) or the Banking Act 2009 (BA).
Please
Use black ink and complete the form in CAPITALS or in typewriting.
Use another sheet of paper if there is not enough space for you to say everything.
Please put your full name at the top of any additional sheets.
A
Type of decision being referred (we use ‘refer’ and ‘reference’ to include ‘appeal’)
Please specify, by ticking the appropriate box, whether your reference relates to a decision by:
The Financial Conduct Authority The Pensions Regulator
The Bank of England An Independent Valuer
The Prudential Regulation Authority
B
About the applicant
Are you the person to whom the decision was addressed? (Tick one box only)
Person to whom decision was
Person affected by decision
Title
Mr
Mrs
Miss
Ms
Other
Surname, or name
of company, firm or
organisation
Other names
Address
Postcode
Telephone number
Email address
To continue reading
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