NAFD Resolve Adjudication Scheme Application Form

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NAFD Resolve Adjudication Scheme Online Application Form

Please read through the following steps you must take before submitting a complaint.
1. Raise your concerns with the funeral firm in the first instance.
2. If your dispute remains unresolved you should refer the matter to National Association of Funeral Directors (NAFD) who will, in turn, refer to the matter to us for conciliation or you may choose to move straight to stage three. Please note that the conciliator will seek to conclude the conciliation within 21 days of his or her appointment.
3. Independent adjudication.
You may proceed to the online application form if you have completed the above.

PDF Application Form Available

If you require a printable version of the application form, to post to us, please click here. We can also send you a paper version, please email applications@cedr.com to arrange this.

If you would like to post your application in, please download the PDF application form above.

You can send applications to:
CEDR Services Ltd
100 St. Paul's Churchyard
London
EC4M 8BU

NAFD Resolve Adjudication Scheme Application Form
The consumer initiating an application to the NAFD Resolve Adjudication Scheme should complete this form.
Please read the NAFD Resolve Adjudication Scheme Rules carefully before you complete this form. This form must be accompanied by a completed copy of the “Customer’s Evidence Checklist” and your evidence. Please remember that you cannot use the Scheme unless your dispute is with a funeral director that is a member of the National Association of Funeral Directors (NAFD).

If an email address is given, we will send you information by email only.
1. The customer's details

This section must be completed by the CONTRACT HOLDER. Please give us your details.
Name*

First NameLast Name
Please provide an email address to receive a copy of your submission:*
example@example.com
Telephone
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Conciliation Reference Number:*
2. Representative

If you have a representative acting for you, please give their details below.
Name

First NameLast Name
Email
example@example.com
Relationship to Applicant:
(e.g Friend, Relative)
3. Funeral Director's details

The funeral director must give their details below.
Company name*
Name

First NameLast Name
Email
example@example.com

4. Customer's dispute details

Please provide an overview of your dispute and what you would like to happen. It is your responsibility to put forward to the adjudicator all of the relevant information about the dispute that you wish to rely on.
Dispute overview*

If you go over the word limit please attach a document with further information. 0/500
5. Claim details

Please tell us what you would like the Funeral Director to do?
Give you an apology:

Yes
Please specify:*

Please note that an adjudicator cannot direct an apology from a specific individual or team.0/500
Take some action:

Yes
Please specify:*

Please note that any remedies directed by an adjudicator must only affect and/or apply to you. Also, an adjudicator will not be able to direct the company to take an action that affects its commercial practices and/or commercial decisions. 0/500
Are you requesting compensation:*

YesNo
What to include:

You should set out here any monetary costs or compensation you would like to claim. You should write a short description of each item claimed and then set out the specific amount you are claiming for that particular item. Please note that it is for you to decide how much you would like to ask for – CEDR’s Case Officers will be unable to advise you how much you should claim for. Please also note that the maximum you can claim is £10,000 (inclusive of VAT) – this sum includes any claims for compensation, refunds, credits and/or waivers.
Request compensation:*
Total amount of compensation you are claiming:*
We are unable to accept compensation claims over £10,000. Please refer to the Scheme Rules for more information.

6. Customers declaration

Please read the statement's below and tick the boxes before signing this form.
Please tick to confirm:*

I have read and understood the NAFD Resolve Adjudication Scheme Rules.I am applying for you to appoint an Independent Adjudicator in line with the Scheme Rules.I have tried to settle this matter through the Funeral Director without success and/or the conciliation process without success.I have not previously referred this dispute to the Courts.I have authority to commit to adjudication and I understand and accept that once the decision is issues, it is final and not subject to the review.
Attach your evidence here:

Cancelof
Signature

Clear
Please type your name: Full name*
Date*

DayMonthYear
Are you sure you want to submit?

You should only submit your application and evidence if you have included everything you would like an adjudicator to consider. Once you click submit you cannot edit the application form any further - it will be sent through to CEDR to process. It is not guaranteed that any information you provide after you've submitted your application will be considered, as you can only amend your claim in exceptional circumstances.
Tick below:*

I confirm I have read the above and understand my submission cannot be edited
Data Protection

This service is administered by CEDR, the Centre for Effective Dispute Resolution. CEDR needs the contact information you provide to us to contact you about your application. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy.
We are working on improving our application process, please give a rating on your experience of completing this form.
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NAFD Resolve Adjudication Scheme Application Form

The consumer initiating an application to the NAFD Resolve Adjudication Scheme should complete this form.

1. The customer's details

2. Representative

3. Funeral Director's details

4. Customer's dispute details

5. Claim details

What to include:

6. Customers declaration

Are you sure you want to submit?

Data Protection