Accountants National Complaint Services Limited
File No: A
Information in relation to your instructions
1. Your details
Firm name:
Name:
Address:
Post code:
DX:
Mobile:
Telephone:
Fax:
Contact name:
Email:
2. Your professional body
2.1 Title along with their case reference number:
2.2 Case officer (name and email address):
2.3 Address of professional body:
3. Details of complaint
3.1 Complaint (brief outline):
3.2 Name and position of person undertaking work:
3.3 Name of partner/director:
3.4 Date you were notified of complaint:
3.5 Date client instructions terminated (if any):
3.6 Name of complainant:
4. The circumstances
4.1 Have you responded in any way to the complaint?
If yes, please provide copies of any relevant correspondence.
Yes/No
4.2 Has any professional negligence claim been made against your firm by the
complainant?
Yes/No
4.3 If yes, have you notified your insurers?
Yes/No
4.4 Have you advised your insurers of the complaint?
Yes/No
4.5 Are there any outstanding fees?
Yes/No
4.6 If yes, will you be taking, or have you taken, legal proceedings?
Yes/No
5. The client’s file
5.1 Is the client’s file in your possession?
Yes/No
5.2 Has the client’s file been requested by new accountants?
Yes/No
5.3 Has the client’s file been released?
Yes/No
5.4 If yes, has a full copy been retained?
Yes/No
6. Overview
Do you believe there are grounds in support of the complaint? If yes, please provide brief details.
7. Regulatory matters
7.1 Brief outline:
7.2 Name and position of person undertaking work:
7.3 Name of partner/director:
7.4 Date notified of regulatory action to be taken:
8. The circumstances
8.1 Have you responded?
Yes/No
If yes, please provide copies of any relevant correspondence.
8.2 Have you been given a date for the regulatory hearing?
Yes/No
8.3 If so, please give date.
9. Action
What action do you require Accountants National Complaint Services to take on your behalf?
10. Fees
Do you require an estimate of our fees? Please note we propose charging at the rate of
£200 per hour plus VAT. It is our practice to invoice on a monthly basis if outstanding fees
exceed £200. Invoices must be paid within 15 days.
Yes/No
11. Insurance cover
You may be covered for all or some of our fees under your professional indemnity insurance policy. Let us
know if you may be covered. Better still, send us your PII policy and we will advise. Otherwise, please
consider any legal fees or office insurance policies. It is certainly worth investigating and could save you a
great deal of money.
Please transfer £
12. Payment on account
on account to the client account of ANCS Ltd, details of which are as follows:
Lloyds Bank
Account name: Accountants National Complaint Services Ltd Client A/c
Sort code: 30-90-49
Account No: 27131968
13. Contact details
The office is manned between 9.10am and 5.30pm Monday to Friday. The company secretary, Alison
Gardner, will be able to contact Chris Cope if he is out of the office. Please note that he is in London
attending tribunals or visiting clients about every two to three weeks. His mobile number is 07836 533437.
However, that number is generally speaking only active when he is out of the office.
14. Declaration
This form must be signed by a partner/ sole principal/ director.
I confirm that this information is correct and complete to the best of my knowledge and I hereby
authorise Accountants National Complaint Services Limited to act on my/our behalf on the basis
set out above. I have read/agreed the terms of business.
Signature:
Date:
Print name:
Position:
15. Return
Please return the form to:
By post:
Accountants National Complaint Services Limited
Hammetts
Kings Nympton
Devon
EX37 9ST
By fax:
01769 581582
By email:
[email protected]
By DX:
33957 South Molton
If you have any questions about the completion of this form, please call us on 01769 581581 and ask to
speak to Chris Cope.
www.accountant-services.co.uk
Accountants National Complaint Services Limited is a limited company, Reg No. 7267194 whose registered office is Hammetts, Kings Nympton,
Devon EX37 9ST. Accountants National Complaint Services Limited is registered with, but not regulated by, the Solicitors Regulation Authority
under reference number 606905.