eFile for Compensation

Application for Compensation

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- Step 1 of 10

If your business has suffered due to anti-competitive practices, you can use this form to seek redress. This eFile form provides a platform to lodge a compensation claim, offering a secure and organized method for presenting your case and attaching relevant evidence.

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INSTRUCTIONS

This Form must be completed to the best of your ability and submitted to the ERCA Registry. Please attach any documents or relevant information to support your complaint. The information provided in this Form is confidential to the extent possible to enable ERCA investigate your complaint. However, ERCA may disclose this information where necessary to assist its investigation. ERCA will contact the Complainant where it considers that it is necessary to disclose such information. However, for the avoidance of doubt, you have the right to identify which information you consider confidential by submitting a request for confidentiality together with this complaint.

1. DETAILS OF APPLICANT

Full Name of Applicant or Authorised Representative *

Name and address of contact person *

Website

Phone

Email *

Description of Industry/sector *

If this application is being submitted jointly with other natural and/or legal person(s), please indicate and provide full details of the other applicants *

Legal Mandate

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Where this Form is completed by an Authorised Representative, please state the nature of your relationship with the beneficiary and whether you have the legal mandate to represent the beneficiary. (attach copy of legal mandate if applicable)

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2. DETAILS OF THE RESPONDENT

Full Name of Respondent(s) *

Full Name of Enterprise *

Address/Location

Phone

Other Contact Details of the Respondent

Website

Nature and scope of business *

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3. DETAILS OF THE ALLEGED INFRINGEMENT

Provide details of the alleged infringement, which was investigated by ERCA. Indicate the goods or services affected by the infringements and explain, where necessary, the commercial relationships concerning these products or services *

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4. ERCA DECISION

Provide any available details on ERCA’s decision in relation to the anti-competitive activity(s) including sanctions imposed by ERCA

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5. IMPACT OF INFRINGEMENT

Please explain how and to what extent the infringement has affected your competitive position / the competitive position of the person/enterprise you represent. *

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6. EVIDENCE OF THE DAMAGE SUFFERED

Explain and provide evidence of the damage you have suffered as a result of anti-competitive behaviour. Please provide tangible evidence(s)

Evidence of damage suffered

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7. PROCEEDINGS BEFORE REGIONAL/NATIONAL COMPETITION AUTHORITIES OR COURTS

Please indicate whether you have approached any other Regional/National Competition Authority in relation to the same or closely related alleged infringement and/or whether you have brought legal proceedings before any Regional/National court. If so, provide details about the authority contacted and your submissions to such authority or court *

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8. SWORN DECLARATION

I declare that the information in this Form and all supporting documents I have attached are accurate and provided to ERCA in good faith.

Print Name *

Position *

Date *

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ERCA Complaint
Management System

Application for Compensation

FILL OUT YOUR FORM IN 10 STEPS

INSTRUCTIONS

1. DETAILS OF APPLICANT

2. DETAILS OF THE RESPONDENT

3. DETAILS OF THE ALLEGED INFRINGEMENT

4. ERCA DECISION

5. IMPACT OF INFRINGEMENT

6. EVIDENCE OF THE DAMAGE SUFFERED

7. PROCEEDINGS BEFORE REGIONAL/NATIONAL COMPETITION AUTHORITIES OR COURTS

8. SWORN DECLARATION

ERCA Complaint
Management System

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Application for Compensation

FILL OUT YOUR FORM IN 10 STEPS

INSTRUCTIONS

1. DETAILS OF APPLICANT

2. DETAILS OF THE RESPONDENT

3. DETAILS OF THE ALLEGED INFRINGEMENT

4. ERCA DECISION

5. IMPACT OF INFRINGEMENT

6. EVIDENCE OF THE DAMAGE SUFFERED

7. PROCEEDINGS BEFORE REGIONAL/NATIONAL COMPETITION AUTHORITIES OR COURTS

8. SWORN DECLARATION

ERCA Complaint Management System

Introducing ERCA Statistical System

ERCA Complaint
Management System

Introducing ERCA
Statistical System