Home Application forms Application for Arbitration Application forms Application for Arbitration This application is to the Victorian Small Business Commission (VSBC) for arbitration of a dispute between goods and freight owner drivers, gig economy couriers, forestry contractors, haulage contractors or hirers. Please note: the details you provide in this application, and any accompanying documents, will be forwarded to the respondent. Submission of this form indicates your agreement to this. Application for Arbitration – Word versionThe applicant’s detailsIf you have been to mediation with the VSBC, please let us know your VSBC reference number: Are the contacts and details from your mediation still up to date? Yes No The applicant’s role in this dispute* Owner driver Gig economy couriers Haulage contractor Hirer Harvesting contractor Applicant business and individual’s name* ABN/ACN (if applicable) Please provide at least one method of contact.* Select All Address Phone Email Address* Street Address Address Line 2 City State Postcode Phone*Email* Name and role of the applicant’s representative (e.g. solicitor) if this applies: Please provide at least one method of contact. Select All Address Phone Email Address* Street Address Address Line 2 City State Postcode Phone*Email* Would you like your representative to be the contact person for your dispute? Yes No The respondent’s detailsThe respondent’s role in this dispute* Owner driver Gig economy couriers Haulage contractor Hirer Harvesting contractor Respondent business and individual’s name:* ABN/ACN if this applies: Please provide at least one method of contact.* Select All Address Phone Email Address* Street Address Address Line 2 City State Postcode Phone*Email* Issues for arbitration including monetary and/or other remedies claimedWhat is the main issue(s) for arbitration?* Termination of contract Payment Unfair contract terms Other - please specify Other - please specify* Total monetary claim ($)Please provide a statement detailing the issue(s) for arbitration, including how the monetary claim has been calculated.*Your contract and other evidence Drop files here or Select files Max. file size: 20 MB. Please attach your contract and other documents with evidence supporting your claimPrivacy statement* I have read and accept the VSBC’s privacy statement Further informationBefore you submit this application form, we’d appreciate your responses to the following questions. By providing this information you will help us improve our services for you and for others.Do you speak a language other than English at home? Yes No Please specify Do you identify as Aboriginal Yes No How did you hear about arbitration with the VSBC? Online search Media Social media Presentation made by the VSBC Your lawyer Your accountant Industry association Other Please specify Please rate your experience: Finding this application form on the VSBC’s website Very easy Easy Average Difficult Very difficult Please rate your experience: Completing this application form Very easy Easy Average Difficult Very difficult Do you have any other feedback?PhoneThis field is for validation purposes and should be left unchanged.