FORM 12A

CASE HEADER

 

NOTICE OF SETTLEMENT (IN PART / NON – SETTLEMENT)

 

TO THE REGISTRAR:

 

TAKE NOTICE THAT the parties have (have not) settled this complaint (or the following issues in the complaint):

 

FOR THE COMPLAINANT:

(Date)

_______________________ (Signature of solicitor or complainant)
(Name, address, telephone and fax number of solicitor or complainant)

 

FOR THE RESPONDENT:

(Date)

_______________________ (Signature of solicitor or respondent)
(Name, address, telephone and fax number of solicitor or respondent)

 

PRESIDED BY:

 

(Date)

____________________________ (Signature of the member)
Member assigned to preside the settlement conference

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