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

Appeal form: BSA4

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 hmctsforms@justice.gov.uk. 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’re 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

Read more about building safety regulations

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. Download Adobe Reader for free.
  2. Right-click on the document link then select ‘Save link as’ or ‘Download linked file’.
  3. Save the form (in your ‘documents’ folder, for example).
  4. Open Adobe Reader and then select the saved form.

If the form still does not open, contact hmctsforms@justice.gov.uk.

If you need a printed version contact your local court.

Find more court and tribunal forms by category.

Find out how HM Courts & Tribunals Service uses personal information 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