Bonsucro Grievance Mechanism
Application Form
What is this Booking Form for?

What do I need to do?

•To commence a complaint under theBonsucro Grievance Mechanism
against a Bonsucro Member•

All defined terms not set out below
are set out in full in the Bonsucro
Grievance Mechanism Rules (the“Rules”).

•

Review the Bonsucro Grievance
Mechanism Rules and the Eligibility
Checklist to ensure that yourcomplaint is eligible.

•Complete this Application Form andprovide your Statement of Complaintand Supporting documents in
English or with accompanying
English translations as required.

•Read the information set out in Part II.

IMPORTANT:
Save a copy of this form before completing and sending to CEDR.
Part I – To be completed by the Complainant
1. Date of Submission
Insert Today’s date:

2. The Parties to this Complaint

Complainant:andRespondent
Member:Bonsucro Grievance Mechanism administered by CEDR

3. Complainant Information
Set out details of the individuals and/or communities represented (In this box please insert the maincontact, and complete separate sheet for others who are part of the complaint).

Full name:
Organisation:
Street Address:
Town:
County:Country:
Postcode:
Contact Tel:
E-mail address:
Remain Anonymous?

YesNo© CEDR 2020
Registered in England as Centre for Dispute Resolution Limited number 2422813 Registered Charity number 1060369

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Bonsucro Grievance Mechanism administered by CEDR

4. Complainant / Representation (if applicable)
Please provide support showing that you are acting on behalf of the Complainant. This will not counttowards the Complaint Submissions length requirements.
Full name:

Organisation:

E-mail address:

Tel:
Brief description of organisation’s role:

5. Respondent Information
Full name:Organisation:
Bonsucro Membership number:Street Address:
Town:
County:Country:
Postcode:
Contact Tel:
E-mail address:
Is the Respondent a Certificate Holder?

Yes© CEDR 2020
Registered in England as Centre for Dispute Resolution Limited number 2422813 Registered Charity number 1060369

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Bonsucro Grievance Mechanism administered by CEDR

6. Respondent / Representation (if applicable)
Full name:
Organisation:
E-mail address:
Tel:
Brief description of organisation’s role:

7. Issues in dispute
Please set out here in a short paragraph the essential nature of your complaint. Please attachto this Application a Statement of Complaint (which includes all of the Required Information
as set out at section 4 of the Rules) in a separate document. The Statement of Complaint must
be in English and no more than 25 A4 pages in length and may be accompanied by supporting
evidence, up to a maximum of 175 pages.

© CEDR 2020
Registered in England as Centre for Dispute Resolution Limited number 2422813 Registered Charity number 1060369

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Bonsucro Grievance Mechanism administered by CEDR

8. Breach of Bonsucro Code of Conduct and/or relevant Bonsucro Standard(s)If you are alleging breach of the Bonsucro Code of Conduct or a Relevant Bonsucro Standard, please
identify which you say have been breached, and provide specifics as to which articles ofthe Bonsucro Code of Conduct / requirements of the Bonsucro Standard(s) were breached.
These documents can be found here. In your Statement of Complaint, please provide factual details
which support these allegations and other relevant information.

9. Social or Environmental HarmIf you are alleging social or environmental harm, please identify this briefly here, and in your Statementof Complaint give details of how the Respondent Member caused or contributed to this harm either
directly or through a business relationship involving their operations, products or services.

© CEDR 2020
Registered in England as Centre for Dispute Resolution Limited number 2422813 Registered Charity number 1060369

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Bonsucro Grievance Mechanism administered by CEDR

10. Next Steps
The Bonsucro Grievance Mechanism Terms and Conditions are set out in Part II below.
You should read Part II carefully before sending this form to CEDR. If you do notunderstand any point please ask for further information by emailing CEDR atadr@cedr.com or calling CEDR on +44 (0)20 7536 6060.
By submitting this form to CEDR : (a) you agree that you have the authority to represent theComplainant; (b) you agree, on behalf of the Complainant to refer your complaint to theBonsucro Grievance Mechanism process as set out the Rules; and (c) you agree, on behalf ofthe Complainant, to the Terms and Conditions, as set out in Part II.
Now send this document to CEDR at adr@cedr.com quoting reference Bonsucro
Grievance Mechanism.
CEDR will review the information provided and confirm if the Complaint is in scope of
the Bonsucro Grievance Mechanism and if there is sufficient funding for theComplaint to proceed.

Continued on next page.

© CEDR 2020
Registered in England as Centre for Dispute Resolution Limited number 2422813 Registered Charity number 1060369

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Bonsucro Grievance Mechanism administered by CEDRPart IITerms and Conditions
IT IS AGREED THAT:
1.

The Complaint refers to the Complaint referred by the Complainant in thisApplication Form.

2.

The contract for the dispute resolution services will come into existence
between the Complainant, the Respondent, the alternative dispute resolution(“ADR”) professionals assigned to the Complaint and CEDR on the date that
CEDR sends out a confirmation email to you confirming that the complaint is in
scope of the Bonsucro Grievance Mechanism and that there is funding toproceed.

3. The Complaint will be administered in accordance with the Grievance Mechanism
Rules as published on CEDR and Bonsucro’s website.
4. Bonsucro will pay the fees associated with each stage of the Complaint. In theevent that Bonsucro does not have a budgetary provision for those fees, theComplaint will either be stayed until funding becomes available, or theComplainant may independently pay the fees.
5. The person submitting this Complaint has the authority to agree to these Terms andConditions on behalf of the Complainant(s) and warrants having authority to bindthat Party and all other persons participating on that Party’s behalf to observe theseTerms and Conditions.
6. Every person involved in the Complaint:(a) will keep confidential all information arising out of or in connection with theComplaint process, save for those published on Bonsucro’s website.
Confidential information includes but is not limited to communications
relating to the set-up and scheduling of the Mediation/Adjudication, thediscussions had leading up to and at the Mediation/Adjudication, and termsof any settlement, unless otherwise agreed by the Parties in writing but notincluding the fact that the Mediation/Adjudication is to take place or hastaken place or where disclosure is required by law, or to implement or toenforce terms of settlement or to notify their insurers, insurance brokers
and/or accountants;(b) acknowledges that all such information passing between the Parties, theADR professional and/or CEDR, however communicated, is agreed to bewithout prejudice to any Party’s legal position and may not be produced as
evidence or disclosed to any judge, arbitrator or other decision-maker in any
legal or other formal process, except where otherwise disclosable in law;(c) will not make any attempt to, or make any audio or video recording of any
part of the Grievance Mechanism Process; and7. Nothing in these Terms and Conditions shall have the effect of excluding or limiting
any liability which cannot be excluded or limited in law.
8. The Complainant agrees that CEDR:© CEDR 2020
Registered in England as Centre for Dispute Resolution Limited number 2422813 Registered Charity number 1060369

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Bonsucro Grievance Mechanism administered by CEDR(a)assume no responsibility for the conduct of the mediation by theMediator(s) nor the outcome of the Mediation or any Adjudication,including any professional judgments contained therein, and CEDR
shall not be liable for loss or damage that may arise from the conductor outcome of the Mediation or Adjudication;(b)

is not liable for any claim in relation to the suitability of theappointment of any Mediator(s)/ Adjudicator(s)); and(c)excludes, to the maximum extent permitted by law, all representations,warranties, conditions and other terms (including the conditions impliedby law and the use of reasonable care and skill which, but for this clause,might have effect in relation to these Terms and Conditions).

9. Subject to these Terms and Conditions, in no circumstances shall CEDR be liable toany other party in contract, tort (including negligence or breach of statutory duty)
or otherwise howsoever arising or whatever the cause thereof, for(a)
(b)
(c)
(d)
(e)
(f)

any loss of profit;
loss of business;
loss of reputation;
loss of contracts;
loss of revenues or anticipated savings; orany special, indirect or consequential damage of any nature

10. The Parties understand that the Mediator/Adjudicator and CEDR do not give legal
advice and agree that they will not make any claim against theAdjudicator/Mediator or CEDR in connection with the Bonsucro Grievance
Mechanism Process. The Parties will not make an application to call the ADR
professionals or any employee or consultant of CEDR as a witness, nor require themto produce in evidence any records or notes relating to the Complaint, in anylitigation, arbitration or other formal process arising out of or in connection with
their Complaint; nor will the ADR professionals nor any CEDR employee or
consultant act or agree to act as a witness, expert, arbitrator or consultant in any
such process. If any Party does make such an application (as listed above), that Party
will fully indemnify the ADR professional or the employee or consultant of CEDR inrespect of any costs any of them incur in resisting and/or responding to such anapplication, including reimbursement at the ADR professional’s standard hourly
rate for the Mediator’s time spent in resisting and/or responding to such anapplication.
11. Subject to these Terms and Conditions, CEDR’s total liability to the other parties inrespect of all losses, costs, claims or expenses arising under or in connection withthese Terms and Conditions, whether in contract, tort (including negligence),
breach of statutory duty, or otherwise, shall in no circumstances exceed a sum
equal to the total fee paid to CEDR in relation to the Complaint under or pursuant
to these Terms and Conditions.
12. These Terms and Conditions are governed by the law of England and Wales andthe courts of England and Wales shall have exclusive jurisdiction to decide any
matters arising out of or in connection with these Terms and Conditions and theBonsucro Grievance Mechanism Process.
13. The referral of the dispute to CEDR does not affect any rights that exist underArticle 6 of the European Convention of Human Rights, and if their dispute does
not settle through the Mediation, the Parties’ right to a fair trial remains
unaffected.
© CEDR 2020
Registered in England as Centre for Dispute Resolution Limited number 2422813 Registered Charity number 1060369

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