Adjudication application template

Template
This template form is used by the claimant to apply for adjudication under the Building and Construction Industry (Security of Payment) Act 2021.
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This form is published by the WA Building Commissioner as a recommended form.  

It is not mandatory to use, but contains the minimum statutory information required for forms of this type.

The Department of Energy, Mines, Industry Regulation and Safety – Building and Energy Division cannot assist with filling out the forms or completing them on your behalf.

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