POL00448909
POL00448909
WITHOUT PREJUDICE
Overturned Convictions
Referral Application to Independent Pecuniary Compensation Assessment Panel
Overturned Convictions
Referral Application to Independent
Pecuniary Compensation Assessment Panel
Guidance for completion of the application form — please read this
information carefully before completing the form
Please only complete one application form. This will assist the Independent Pecuniary Compensation
Assessment Panel (‘the Panel’) in reviewing your claim, or for legally represented individuals, your
client’s claim. If you are not legally represented, Post Office Limited (‘Post Office’) urge you to seek
independent legal advice, the reasonable costs of which will be met by Post Office.
The Principles underlying offers of Pecuniary Compensation (‘the Principles’), the Pecuniary
Compensation Assessment Process (‘the Process’) and the Terms of Reference for the Independent
Pecuniary Compensation Assessment Panel (‘the Terms of Reference’) govern referrals. If copies of
these documents are required, please contact Post Office’s legal representatives.
If the application relates to multiple heads of loss, these should be included in the same form. A
separate document may be appended to this form for submission of relevant supporting material and
information, to assist the Panel in properly considering the application. Failing to provide such
information with the application may result in unnecessary delays. You may be contacted if any
additional information is required by the Panel to progress the application.
Applications and other communications should be sent to the clerk to Sir Gary Hickinbottom, Chair of
the Panel, by email to POPanelEnquirie:
If you are not legally represented, and you do not have an email address yourself, then a family
member or friend is welcome to email on your behalf. In order to minimise any potential delays with
processing applications, sending the application by email is preferred. However, if email is not
possible then the application may alternatively be sent by post to the clerk to Sir Gary Hickinbottom:
Chris Jones, 39 Essex Chambers, 81 Chancery Lane, London WC2A 1DD.
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POL00448909
POL00448909
WITHOUT PREJUDICE
Overturned Convictions
Referral Application to Independent Pecuniary Compensation Assessment Panel
In order to be eligible to refer a pecuniary claim or a specific disputed head/s of loss to the Panel you,
or your client, must meet the criteria set out below:
Tick as appropriate
© You, or your client, must have lodged a claim for pecuniary damages with Post Office or its
legal representatives.
You, or your client, confirms the Terms of Reference have been read.
You, or your client, confirms that you have read and agree to follow the Pecuniary
Compensation Assessment Process.
QO Prior to any referral to the Panel, you/your client will have received an offer in settlement
of your claim/your client’s claim and specifically, the particular head or heads of loss where it
has not been possible to reach agreement between the parties. Please confirm you, or your
client, has received an offer for the head(s) of loss referred for determination.
1 sA referral will not be accepted by the Panel where there is a pending Request for
Information. This is because the Panel will need to consider all relevant information to
determine an issue in dispute and cannot do this if information is considered outstanding.
Please confirm you, or your client, has no pending Request for Information.
Claimant's det
1 Full name
2 Previous name(s) {if any)
3 Date of birth
4 Postal address
5 Email address
6 Contact telephone number
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POL00448909
POL00448909
WITHOUT PREJUDICE
Overturned Convictions
Referral Application to Independent Pecuniary Compensation Assessment Panel
7 Preferred method of communication about your OC Email
application (if not legally represented)
We advise using email wherever possible to
minimise any potential delays. © Post
Claimant's representative's details
(if applicable - to be used for communications regarding the application where legally represented)
8 Name of legal representative (firm name and main
contact name)
9 Address
10 I Phone number
11 I Email address
Claim / Referral Details
Please provide as much detail as you can about your, or your client’s claim, and the basis for referral
12 I Which Principle(s) does the application relate to?
. Prosecution shortfalls
o
. Pre-Prosecution Shortfalls
. Loss of Earnings/ Stigma Damages
. Loss of Asset: Residential Home
. Loss of Asset: Personal Property and Other Residential Property
. Loss of Opportunity
2.
3,
4.
5. Loss of Capital Value of a Retail Business
6.
7.
8.
9.
. Claims in Respect of Pensions
10. Insolvency related losses
11. Out of Pocket Expenses
12. Loss of Rental Profits
13. Cost of Debt Financing / Financing Related Penalties
14. Loss related to Royal Mail ColleagueShare Plan
ogoo0odjo0o0 oO ojo o0 0 0;0
15. Special Damages-Personal Injury
oO
b
a
. Other (please state)
13 I What is the current position in relation to the disputed Head of Loss? Please provide details
pertaining to the current position for each head of loss claimed here.
# Disputed Head of Loss Current Position
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WITHOUT PREJUDICE
Overturned Convictions
Referral Application to Independent Pecuniary Compensation Assessment Panel
POL00448909
POL00448909
14
Please set out the brief details of your or your client’s application, and include the following
information:
= Submissions detailing the basis of the claim;
= What remedy is being sought; and
= Reasons why the compensation being sought is appropriate.
Other i
15
formation related to your, or your client's application
Oo Please confirm all relevant interparty correspondence (including all offers
relating to the disputed head of loss) has been attached.
Oo Please confirm all documents / materials to support the application to the
Panel have been attached.
11/85230095_1
POL00448909
POL00448909
WITHOUT PREJUDICE
Overturned Convictions
Referral Application to Independent Pecuniary Compensation Assessment Panel
What documents/material supports the application to the Panel? Please list out the
documents/evidence in the table below.
Please note that documents/evidence should be provided electronically (scanned or
photographed), or in hard copy via post, at the same time the application is submitted. This
will allow the application to be investigated and considered more efficiently.
Please also note that in order for the application to be forwarded to the Panel, supporting
documents and all interparty correspondence relating to the disputed Heads of loss must be
attached.
The relevant documents attached will be dependent on the basis of the claim/ the Principle to
which the claim relates. Please refer to the Principle relevant to the application to see the
evidence/documents that may assist with the claim (noting that this is not an exhaustive list). Any
document which may be considered to aid the application may be attached.
# Description ]
16 I Is there any further information which the Panel should consider when assessing the
application? Please use an additional sheet if necessary.
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POL00448909
POL00448909
WITHOUT PREJUDICE
Overturned Convictions
Referral Application to Independent Pecuniary Compensation Assessment Panel
Signature of Claimant
By signing this document, I confirm that:
1) All the information provided in this application form is true and correct to the best of my
knowledge and belief; and
2) have read and understood the eligibility criteria for the Pecuniary Compensation Assessment
Process and believe I am eligible.
As we are advising applicants to submit this form by email rather than post, if you are unable to print
and scan this form, we will accept an electronic signature. Please tick this box to indicate you have
submitted an electronic signature and type your name in the box below.
Claimant Signature Date
Cit am submitting an electronic signature
Claimant Name
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