THE CSOS APPLICATION FORM - For Dispute Resolution Page 1 of 3
Completed forms must be emailed to
Gauteng, Limpopo and North West - gp-complaints@csos.org.za
KwaZulu-Natal, Free State and Mpumalanga - kzn-complaints@csos.org.za
Western Cape, Eastern Cape and Northern Cape - wc-complaints@csos.org.za
APPLICATION FOR DISPUTE RESOLUTION FORM
Kindly complete the form in a legible manner and all pages must be completed.
DETAILS OF PERSON MAKING THIS APPLICATION:

Full Names:
Surname:
ID Number:
Tel No: (home/work): Cell Phone:
Email:
Race: Age: Gender:
ADDRESS:
Name of Scheme: Unit No:
Street Name:
Suburb:
City:
Province: Postal Code:

PO Box No: Suburb:
City:
Province: Postal Code:


Sectional Title Development Homeowners Association
Housing Scheme for Retired Persons Share Block Company
Housing Cooperative Other (please specify)


Owner Occupier Management Agent
Board of Directors Sectional Title Trustees Management Association for Retired Persons
Other (please specify)

Yes No Not sure

(If more than one person, please state details under additional information)
Details:
Address:
Tel No: (home/work):
Email:
Male
THE CSOS APPLICATION FORM - For Dispute Resolution Page 2 of 3



EXHAUSTION OF INTERNAL REMEDIES:


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RELIEF SOUGHT:

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THE CSOS APPLICATION FORM - For Dispute Resolution Page 3 of 3
ADDITIONAL INFORMATION:
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SUPPORTING DOCUMENTATION


A copy of Scheme Governance documentation (including: any rules, regulations, articles, constitution, terms and conditions or
other provisions that control the administration or occupation of private areas and common areas)
A copy of Sectional Title / Homeowners Association Plan
A copy of the Title Deed
All documentation, including correspondence with the Respondent (party you are making the application against) relevant to
the application
A copy of your latest statement of account
A copy of the minutes of the Annual / Special General Meeting
Photographs
A copy of audited nancial statements
A copy of Summons
A copy of Administration Order
Other (please specify)
I do not have supporting documentation
DECLARATION AND SIGNATURE OF APPLICANT:
I declare that the above information is true and correct to the best of my knowledge. I agree that the information I have given in this
form may be used or disclosed to process and resolve this application.
Signature:
/ /
(dd/mm/yy)
2 0 1 9
click to sign
signature
click to edit
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