Complaint Resolution Service : CoCCA Registry Services (NZ) Limited
Complaint FormOVERVIEWThe CRS framework relies on three tiers of review: immediate action to protect the public interest, informal
mediation by an Ombudsman, and if necessary binding arbitration by an Expert.
The Complaint Form below should be completed, signed and sent by email to crs@coccaregistry.org.
Fees
Lodging a complaint is free.
Amicable Complaint Resolution is free.
The applicable fee for referral to an Expert for binding arbitration is $2500 USD.
Complaint Resolution Service : initial review
On receipt of a signed Compliant form, a preliminary review by CoCCA will take place to determine if
suspension of the domain(s) is required to protect the public interest.
Complaint Resolution Service : amicable complaint resolution
CoCCA will refer the complaint to the Ombudsman to conduct a period of mediation to reach an amicable
resolution of the complaint. All correspondence and communication during mediation is confidential andhandled only by the Ombudsman.
If amicable resolution is not possible, and the Complainant desires to proceed further, the matter can sent
to an Expert for binding arbitration.
Adjudication by an Expert
On receipt of applicable fees from the Complainant, CoCCA will appoint an Expert on a rotational basis fromits list of Experts. The Expert will make a binding ruling on the Complaint on the basis of the Parties’
submissions and the TLD Policy and Procedures.
On receipt of a Decision from the Expert, CoCCA will communicate the full text of the Decision to each Party
via email and will implement the actions (if any) required by the Decision from the Expert.

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Complaint Resolution Service : CoCCA Registry Services (NZ) Limited
Complaint FormSECTION 1 | COMPLAINANT
Name:
Organization:
Street address:
P.O. Box or Apt No.:
City, State, ZIP Code:Country:e-mail address:
Phone:SECTION 2 | REPRESENTATIVE (If applicable)
You may appoint a representative to deal with your case.
Name:
Organization:
Street address:
P.O. Box or Apt No.:
City, State, ZIP Code:Country:e-mail address:
Phone:SECTION 3 | DOMAIN
Domain:Updated Monday, 4 May 2020

Complaint Resolution Service : CoCCA Registry Services (NZ) Limited
Complaint FormSECTION 4 | REGISTRANT
Name:
Organization:
Street address:
P.O. Box or Apt No.:
City, State, ZIP Code:Country:e-mail address:
Phone:SECTION 5 | ALLEGED VIOLATION
Specify the exact ACCEPTABLE USE POLICY provision(s) that you believe the Registrant is violating. You canreview the ACCEPTABLE USE POLICY at the Top Level Domain’s NIC site. See the IANA website for the most
up-to-date links. Please provide details buy attachment.
SECTION 6 | ACTIVITY
Describe in detail the activity performed by the Registrant which you feel is in violation of the ACCEPTABLE
USE POLICY PROVISION specified above. Please provide details buy attachment.
SECTION 7 | OTHER
Provide any other material pertinent to your complaint. This may include specific web pages where thealleged violations are occurring, print out material, which you may attach, or other documentation orevidence. Please provide details buy attachment.

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Complaint Resolution Service : CoCCA Registry Services (NZ) Limited
Complaint Form
DECLARATION OF COMPLAINANT
I, the Complainant agree that my claims and remedies concerning the registration of the Domain
Name, the Complaint, or the Complaint 's resolution shall be solely against the Registrant and neither
CoCCA Registry Services (NZ) Limited (“CoCCA”) nor the TLD Manager, Ombudsman any Registrar or Expert
nor any of those entities’ councillors, officers, employees or servants shall be liable for anything done oromitted in connection with any proceedings under the Complaint Resolution Service unless the act oromission is shown to have been in bad faith;
The information contained in this complaint is to the best of my knowledge true and complete. This
complaint is not being presented in bad faith, the matters stated in this complaint comply with applicablepolicy an procedures;
I agree to be bound by any resulting Decision. I understand I may appeal any Decision under this CRS to thecourts of a relevant jurisdiction.
NameSignature
Dated this (Date) at (Location of Execution)
If a Complainant who wishes to notify CoCCA of claimed copyright infringement must execute the following
Declaration:
I, the complainant referenced above, declare that I have good faith belief that use of the material in the mannercomplained of is not authorized by the copyright owner, its agent or the law. The information contained in thisComplaint and specifically in this Notification of Claimed Copyright Infringement is accurate. I am authorized
to act on behalf of the owner of an exclusive right that is already infringed. I swear under the penalty of perjury
that the foregoing is true and correct.
Name
Signature
Dated this (Date) at (Location of Execution)

Updated Monday, 4 May 2020