Who is Recipient?

• Who is recipient (i.e., a person to whom this claim is being addressed)?

  • An individual or sole trader
  • A company or partnership

• Indicate the recipient's full name:

• Indicate the recipient company's full name:

• Indicate the recipient's residential address:

• Indicate the recipient's registered business address:

Claim Details

• This letter before action is about:

  • faulty services
  • faulty goods
  • unpaid bills or owned money
  • personal injury

• Select the date on which the incident took place:

• Describe the location where the incident occurred:

• Describe the incident that occurred in detail:

• Explain in detail why you believe the recipient is responsible for the incident:

• List all injuries suffered by the sender as a result of the incident:

• List all losses suffered by the sender as a result of the injury:

• List all documents attached in support of this claim:

• Select the date on which goods were purchased:

• Describe in detail the goods that were purchased:

• Indicate the total amount for the paid goods, in pounds (£):

• Select the date on which the contract for the provision of services was concluded between the parties:

• Indicate full name of the contract for the provision of services between the parties:

• The services should be provided by the recipient:

  • until specific date
  • for a defined period of time

• Select the date by which services should have been provided:

• Indicate the timeline (in weeks) within which the services should have been provided:

• Was the price for the provided services defined in the provisions of the contract?

  • No
  • Yes

• Indicate the total price for the provided services, in pounds (£):

• Did the sender already receive the full amount for the provided services?

  • No
  • Yes

• List all the problems with the purchased goods:

• List all the problems with the services provided:

• Select the date on which the parties entered into the contract giving rise to the unpaid amount or outstanding invoice:

• List the sender's obligations under the contract:

• Select the date on which the sender fulfilled all of their obligations under the contract:

• Indicate the total amount that is pending, in pounds (£):

• Explain how the amount stated above has been calculated:

Procedural Details

• List all attempts you have made to resolve the dispute before sending this Letter Before Claim:

• Specify the exact problem with goods:

  • not of satisfactory quality
  • not fit for purpose
  • do not match description
  • incorrectly installed

• Describe the facts giving rise to your claim in relation to the services provided:

• What does the sender is willing to claim?

  • cover losses
  • demand performance of certain actions

• Indicate the total amount of the claim, in pounds:

• List all losses you are claiming from the recipient:

• Indicate the total amount of the claim, in pounds:

• Specify the remedies you are seeking from the recipient:

• Describe the payment demands or requests sent by the sender to date:

• Provide the clause number and wording of the contractual provision relevant to this claim:

• Shall any contractual interest apply to the amount of the unpaid debt/bill?

  • No
  • Yes

• Provide the clause number and wording of the contractual provision that specifies the interest payable:

• Explain how contractual interest has been calculated:

• Specify the total amount of contractual interest accrued and claimed, in pounds (£):

• Select the deadline by which the recipient must repay the pending debt amount:

• Select the final deadline by which the recipient must respond to this letter:

• Do you want to add a signature?

  • Yes
  • No

• Sender's signature:

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