ASBFEO Dispute Form

Dispute

Fields marked with * are required

Business Owner Contact Details

Are you the business owner (yes/no)

Five Steps to Dispute Resolution

Have you completed the first three steps of the Five steps to Dispute Resolution?

About Your Business

Business ABN/ACN Visit https://abr.business.gov.au/ to find your ABN or ACN

Business Name

Address Line 1

Address Line 2

Suburb

Postcode

State

Country

For ASBFEO purposes, do you employ more than 100 full-time equivalent employees?

For ASBFEO purposes was the revenue for your business from the last financial year more than $5 million?

About the Other Party

Who are you in a dispute with?

Business ABN/ACN Visit https://abr.business.gov.au/ to find the other party's ABN or ACN

Business / Org Name

Business Address

Contact Details of the Other Party

First Name

Last Name

Contact Phone Number

What is the other party's relationship to you?

About the Dispute

Subject

Type of Dispute

When did the dispute first occur (date)? If you can’t remember the exact date, please use the first day of the month the dispute occurred.

Please provide details of the dispute. Maximum 1000 characters

What is the dollar value of the dispute? Numerical characters only

Is the relationship important to you/your business’ future?

What have you done to resolve this dispute? Please include a timeline of events and attach any relevant documentation below. Maximum 1000 characters

What outcome are you looking for to resolve your dispute?

Are you willing to compromise resolve this dispute, e.g. accepting a lower amount or another option? Please note that the large majority of commercial disputes are resolved through negotiation and compromise.

Has the dispute been lodged anywhere else?

If the dispute has been lodged elsewhere, do you consent to ASBFEO contacting this party?

Additional Support

Do you need any support to manage this dispute? (for example, translation services, written communication only etc.)

Do you use a language other than English at home? If you use more than one language at home, select the one that is used most often. Please include the use of sign language (for example, AUSLAN) in the ‘please specify’ box.

Consent to Share Information

Do you consent for the ASBFEO to provide your information to agencies and organisations to assist you (including those you may have already contacted) and as part of our advocacy function?

Do you consent to the ASBFEO sharing information with the other party?

Attachments

Please attach any information that you think is relevant. Accepted file types include docx, xlsx, pdf, jpg, png, msg, eml, txt, csv to a max of 5MB file size.

Please do not attach any illegal, restricted or offensive content. Be aware that we will be obliged to report any inappropriate content that we receive to the relevant authorities.

I would like to receive ASBFEO’s monthly newsletter.

Useful Links:

Links to information about mental health and financial wellbeing support can be found on ASBFEO’s Resources and Tools Centre.

Ensuring your privacy is important to the Australian Small Business and Family Enterprise Ombudsman. We will only share your personal information with a third party if you give us permission to do so or if required by law. We use the information you provide on this webform to determine how to assist with the event/meeting you have contacted us about. Without your information we cannot determine how best to assist you with the matter. You can learn more about our Privacy Policy here.

Dispute

Business Owner Contact Details

Five Steps to Dispute Resolution

Five Steps to Dispute Resolution

About Your Business

About the Other Party

Contact Details of the Other Party

About the Dispute

Additional Support

Consent to Share Information

Attachments

Upload Attachment