Complaints Form - Pegasus ADR Service

Gambler application form authorising Pegasus ADR Service to handle a dispute

Having exhausted the necessary three-stage process of attempting to resolve a complaint directly with the company, you now have the right to request Alternative Dispute Resolution (ADR).

The Company should have provided you with a ‘deadlock’ or complaint closure letter stating that the complaint has not been resolved between you and the company. Please ensure that you retain all documents and correspondence (including the ‘deadlock’ letter) between you and the company during the complaint process, providing Pegasus ADR Service with copies.

Application form authorising Pegasus ADR service to handle your dispute.

This form can be downloaded in .pdf format and posted or submitted on-line. Please note that we are only able to receive requests for ADR in the English language.

Your details

Forename (required):

Surname (required):

Telephone (required):

Email (required):

Details of the incident that led to your complaint

Company Name (required):

Company Reference:

Name of Venue where Incident Occured (required):

Venue Address Line 1 (required):

Venue Address Line 2:

Venue Town City (required):

Venue County (required):

Venue Postcode (required):

Incident Date (required):

Incident Time (required):

Names of staff and management at the company that you have communicated with so far (if known to you):

Names and Addresses or contact telephone numbers of any independent witnesses (if applicable):

In your own words provide a clear and comprehensive account of your complaint and what you are seeking as redress (required):