Building and Construction Industry Payment Act 2004 (Qld)
This form is to be used for an application for adjudication of a payment claim made under the Building and Construction Industry Payment Act 2004 (Qld) hereafter referred to as ‘the Act’. Completing this form
Before you submit this form, carefully read the information provided on the Queensland Building and Construction Commission (QBCC) website. The fees are calculated automatically. The claimant hereby applies for adjudication under section 21 of the Building and Construction Industry Payments Act. The documents attached to or submitted with this application form part of this application. Please complete all details below, taking particular care to correctly identify the business details of the respondent and the contract in dispute. You are to serve a full copy of this application for adjudication on the respondent before the application can be decided by an adjudicator. The electronic submission of this application will only be considered when payment is made by a valid credit card. This application form may be saved at any stage while it is being completed, in order to return to it at a later date. This application form may be completed and printed for submission in hardcopy. The claimant acknowledges that they may be responsible for the payment of further fees in accordance with the Act.