Home Application forms Application for help to resolve a rent relief dispute under the Commercial Tenancy Relief Scheme Application forms Application for help to resolve a rent relief dispute under the Commercial Tenancy Relief Scheme The Victorian Small Business Commission (VSBC) is providing free and impartial mediation to commercial tenants and landlords to help resolve rent relief disputes in response to coronavirus (COVID-19). This includes: disputes from 28 July 2021 under the Victorian Government’s reintroduced Commercial Tenancy Relief Scheme (the Scheme) – please apply using this dispute application form after reading the regulations for the Scheme carefully to ensure the tenant is eligible (for more information, see question 9 of our FAQs) disputes outside the Scheme where the tenant isn’t eligible, including where the dispute relates to rent relief requested before 28 July 2021 – please apply using our retail leases dispute application form. Because the VSBC doesn’t provide legal or other professional advice, you should consider getting this advice from a suitably qualified and experienced person (e.g. a lawyer, accountant). Doing so might be helpful and important before and during mediation. The details you provide in this form might be sent to the other party. Sending us this form means you agree to this. If you intend to have someone else represent you at mediation, please read our web page on authority to participate in mediation. If you have any questions about how we can help, you can call us on 13 8722 or through the Translating and Interpreting Service. Please provide as much of the below information as you can to help us assist you. For further help, see our responses to frequently asked questions. Application for help to resolve a rent relief dispute under the Scheme – Word version Application for help to resolve a rent relief dispute under the Scheme – completed exampleApplicant detailsThe applicant is the name of the person, business or company applying for help to resolve the dispute.If there is more than one applicant (the name of the person, business or company applying for help to resolve the dispute), please provide the names and addresses of these applicants and their representatives by clicking ‘Add another applicant’ at the end of this section. If the tenant or landlord is represented by an agent or solicitor, please provide the names, addresses and telephone numbers for BOTH the tenant or landlord AND agent or solicitor.Have you contacted us before about a dispute?* Yes No Is this an application for further rent relief? Yes No If this is related to a previous VSBC rent relief dispute, please state the VSBC reference number (see the subject line of the VSBC correspondence): Your contact email*This will be the primary email we use if we need to contact you. Are you a tenant or landlord?* Tenant Landlord How many people do you employ?* 0 employees 1-4 employees 5-19 employees 20-199 employees 200+ employees Are you eligible for the Commercial Tenancy Relief Scheme?*Please note, it is important that tenants read the regulations for the Scheme carefully to determine whether they are eligible. For more information, see question 9 of our FAQs. Yes No What is your decline in turnover because of coronavirus (expressed as a percentage)?*For information on how turnover is defined under the Scheme, how the decline in turnover test is satisfied and which comparison turnover period and turnover test period applies, see questions 14–17 of our FAQs.Please attach at least one form of required evidence to show your decline in turnover*To access the list of documents that a tenant must choose from to show their fall in turnover, see question 18 of our FAQs.Max. file size: 20 MB.Please provide:- all other evidence you have provided to your landlord, including your written request for rent relief and - all relevant correspondence and other materials sent between you and your landlord after you requested rent relief. Drop files here or Select files Max. file size: 20 MB. Applicant type Business or company Not a business or company Business/company name or applicant name* Business or company ACN or ABN (if this is known) Name of the person who is the contact for the applicant (if a business or company) Street or postal address* Street address Address line 2 City State Postcode Phone*Email (if the applicant has one) Name of the applicant’s representative (e.g. solicitor or estate agent) Street or postal address Street address Address line 2 City State Postcode PhoneEmail (if the representative has one) Add another applicantRemove this applicantIf there is more than one applicant (person, business or company applying for help to resolve the dispute), please provide the names and addresses of these applicants and their representatives by clicking the above button. Tenancy detailsType of lease* Retail Commercial Other Please specify other type of lease: Please attach a copy of your lease*Max. file size: 20 MB.Tenant’s name on the lease Business or trading name (if this applies) Shopping centre name (if this applies) Street address including shop number(s) (if this applies), and suburb/city/town and state*Postcode What is the premises used for?* What is the start date of the lease or lease extension?* MM slash DD slash YYYY Respondent detailsThe respondent is the name of the other party – the person, business or company that the applicant is in a dispute with.If there is more than one respondent (the other party – the person, business or company that the applicant is in a dispute with), please provide the names and addresses of these respondents and their representatives by clicking ‘Add another respondent’ at the end of this section. If the tenant or landlord is represented by an agent or solicitor, please provide the names, addresses and telephone numbers for BOTH the tenant or landlord AND the agent or solicitor. Respondent: Landlord If there is more than one respondent (the other party – the person, business or company that the applicant is in a dispute with), please provide the names and addresses of these respondents and their representatives by clicking ‘Add another respondent’ at the end of this section. If the tenant or landlord is represented by an agent or solicitor, please provide the names, addresses and telephone numbers for BOTH the tenant or landlord AND the agent or solicitor. Respondent: Tenant Respondent type Business or company Not a business or company Business/company name or respondent name* Business or company ACN or ABN (if this is known) Name of the person who is the contact for the respondent (if a business or company) Street or postal address* Street address Address line 2 City State Postcode Phone*Email (if the respondent has one) Name of the respondent’s representative (e.g. solicitor or estate agent) Street or postal address Street address Address line 2 City State Postcode PhoneEmail (if the representative has one) Add another respondentRemove this respondentIf there is more than one respondent (the other party – the person, business or company that the applicant is in a dispute with), please provide the names and addresses of these respondents and their representatives by clicking the above button.Dispute detailsDispute information*Please provide a brief description of your dispute. If you would like to provide additional documents that relate to the dispute, please attach these below.Dispute documents Drop files here or Select files Max. file size: 10 MB, Max. files: 4. Rent and rent relief claimed*Privacy statement* I have read and accept the VSBC’s privacy statement Before you submit this application form, we would appreciate your feedback I would like to provide feedback FeedbackHow did you find out about us? Presentation delivered by the VSBC Your lawyer Your accountant Business network Industry/business association Your local council Online search taking you to our website Social media Media (print/online/radio e.g. news story) Other Please specify other: How easy was it to find this form on our website? Very easy Easy Average Difficult Very difficult How easy was it to complete this form? Very easy Easy Average Difficult Very difficult Do you have any other feedback about this form?CommentsThis field is for validation purposes and should be left unchanged.