Authority to Act as your Party Wall Surveyor

We’re pleased that you would like to instruct Allen Norman to act as your Party Wall Surveyor.

To make life easier, in a technology-based world, we have developed a simple online system for you to instruct us to proceed.

Please fill in your details, the quotation number, put a tick in the boxes corresponding with the authority you are giving Allen and then click the submit button at the bottom of the form…this will send us an email with the information.

If you are able then please attach photos / scans of the notices.

We’ve also included a comment box for you to add any other information for us.

Allen will then proceed in accordance with your instructions / authority.

Name *

Works are proposed at *

Please provide the property address and postcode where the works are going to be carried out

Your property address beside where the works are proposed *

Please provide the address and postcode of your property which is beside where the works are going to be carried out

Correspondance Address

Please provide your correspondance address only if it is different from your property address mentioned above.

Date of the notice(s) which have been served on me/us under the Act. *

We include the facility for you to attach the notices, drawings and any other information you have received from your neighbours at the end of this form.

I am an owner / we are owners as defined by section 20 of the Act of the property beside where the works are proposed *

I/we agree to this statement

I / we dissent to the notice(s) *

I/we agree to this statement

I/we appoint you, Allen Norman, in accordance with section 10 of the Act as my/our surveyor *

I/we agree to this statement

I/we hereby authorize you, Allen Norman, to sign, serve, receive and reply to any further notices in connection with the works proposed at the above address. *

I/we agree to this statement

If the building owner is willing for you to act as an agreed surveyor under section 10(1)(a) of the Act, I/we appoint you as agreed surveyor instead. *

I/we agree to this statement

I/we agree that I/we are willing to receive any notice or document under the Act by email at the email address listed above. *

I/we agree to this statement

Email address for receiving notice(s) or document(s) *

By signing this form I confirm that I have the authority to do so on behalf of any joint owners (if applicable). *

I agree to this statement

Signature *

Print Name *

Date *

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