Construction Industry Disputes Tribunal Referral Form

Company/Organisation :
Spokesperson :
Address :
Nature of Company Business:
Approx. No. of Employees in Co. (total if known):
Telephone No :
Fax No:
e-mail address:

Co. Represented by (e.g. IBEC, CIF, etc if involved)
Spokesperson :
Address :
Telephone No :
Fax No:
e-mail address:

Employee (s)
Employees Represented by (e.g. Union if involved) :
Spokesperson :
Address :
Telephone No :
Fax No:
e-mail address :

Other Parties / Unions involved :

Number and Category of Workers involved in this Dispute , (e.g. Craftsperson, General Operative etc. ) :

Issues in dispute (Use separate sheet if necessary) :

Referred By :
Date :