Compensation claim form
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1 Compensation claim form
2 Compensation We treat compensation claims as complaints. If our service fails our Customer Experience team will investigate, and if appropriate offer you compensation. Types of compensation Loss of any bedroom or living room If a room is unusable for more than seven days, then compensation can be claimed. The amount paid will depend on the number of rooms affected and the total number of rooms in the property (excluding bathrooms and WCs). Example: One bedroom of a total of three rooms (bedroom, living room, kitchen) = 33% rebate of net rent. No access to cooking/washing facilities The following will apply if you ve no access to cooking or washing (bathroom) facilities for more than 48 hours: No access to cooking facilities:... 50% of the net rent No access to bathroom facilities:... 50% of the net rent. Loss of amenities: heating/hot water Where we re responsible for the loss of heating and/or hot water for more than seven days, compensation is payable as follows: Heating:... 20% of the net rent Hot Water:... 10% of the net rent. Payment for missed appointments Where staff cannot keep an appointment they will inform you at the earliest opportunity. The minimum notice period is one hour. If there are no reasonable, justifiable or unforeseen circumstances (for example a road traffic accident) we will pay 10 compensation. Compensation for missed appointments will not apply to contractors or suppliers acting on our behalf
3 Failure to repair Under the repairs scheme, you ve the right for repairs to be carried out within set time scales. If we fail to do this you may be eligible for compensation. Goodwill gestures Where a claim cannot be proven, we may offer a goodwill payment for distress or inconvenience. Goodwill payments do not indicate an admission of liability and are usually to the value of 20. Compensation for loss or damage to cover reasonable expenses We may pay compensation to cover reasonable expenses where there has been financial loss directly because of service failure. We will not reimburse costs we do not consider reasonable (e.g. where it was unnecessary to have sought professional advice). Statutory disturbance payment Statutory disturbance payment is compensation for expenses involved in moving from a property we re redeveloping This could include removal costs. Home loss payment Home loss is a fixed sum paid for the permanent loss of the home because of redevelopment work. The amount is reviewed annually taking effect from the 1st of September each year. Payment amounts can be found at Payments for temporary decants If you are required to move out of your home, rent will only be due if we can find a suitable alternative. If you arrange your own temporary accommodation then rent will not be charged at this time. Compensation for qualifying home improvements You have the right to claim compensation towards the end of your tenancy, for home improvements you have made. These must be approved by AmicusHorizon. A full list of qualifying improvements and the formula for calculating the amount of compensation is available on request
4 Compensation claim form Claimant Details Name: Address: Post code: Date of birth: Gender: Daytime phone number: Mobile phone number: Ethnicity White British Irish Other white Mixed White and Black Caribbean White and Black African White and Asian Other Asian or Asian British Indian Pakistani Bangladeshi Other Black or Black British Caribbean African Other Other ethnic group Chinese Gypsy/Traveller/Romany/Irish Other ethnic group Rather not state Disability Do you consider yourself to have a vulnerability or disability? If so, please give brief details here
5 Compensation Details of claim I understand that knowingly submitting false information will be considered fraud and will be investigated accordingly. Signed...Date... Office Use Only Date claim received: Officer carrying out the investigation: Compensation type Failure to repair Loss of any bedroom or living room No access to cooking / washing facilities Loss of amenities: heating / hot water Payment for missed appointments Goodwill payment Home loss payment Statutory disturbance Temporary decant Qualifying home improvements Result of investigation Response / remedy Comments:
6 Facebook f Logo CMYK /.eps Facebo How to make a claim for compensation: Post: AmicusHorizon PO Box 322 SITTINGBOURNE ME9 8PQ Telephone: Online: The more information you can give us about the claim the better. This may include photographs, time and dates, name of officer spoken to, receipts, invoices and comparable utility bills. What to expect when you have made a claim for compensation An acknowledgement will be sent within three working days of the claim being received. This will include the contact details of the officer who will be investigating the claim and the proposed date for a decision to be given. It is our usual practice to offset compensation payments against rent arrears. Did you find this leaflet helpful? Please let us know by liking us on Facebook
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