Form

Appeal a notice of liability to pay a remediation amount: Form BSA4

Landlords can use this form to appeal against a notice of liability to pay a remediation amount, or a share of the amount.

Applies to England

Documents

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email [email protected]. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Use this form if you鈥檙e a landlord who wants to appeal a notice of liability to pay:

  • a share of a remediation amount given by another landlord for the same property
  • a remediation amount from another landlord
  • a share of a remediation amount from another landlord

Open a document

You can download and open PDF documents on your device. Downloading enables more features to be used, such as printing.

Adobe Reader is a free to use PDF viewer. You can use this to view, fill in and print PDF documents. You do not need to sign up for a free trial.

Follow these steps:

  1. 聽for free.
  2. Right-click on the document link then select 鈥楽ave link as鈥� or 鈥楧ownload linked file鈥�.
  3. Save the form (in your 鈥榙ocuments鈥� folder, for example).
  4. Open Adobe Reader and then select the saved form.

If the form still does not open, contact聽[email protected].

If you need a printed version聽contact your local court.

Find more聽court and tribunal forms聽by category.

Find out聽how HM Courts & Tribunals Service uses personal information聽you give when you fill in a form.

Updates to this page

Published 5 August 2022
Last updated 3 February 2025 show all updates
  1. Updated the form.

  2. Uploaded new version of BSA4

  3. First published.

Sign up for emails or print this page