Payment Schedule
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1Payment schedule
This is a payment schedule made under the Building and Construction Industr y Payments Act (Qld) 2004
To
From
(claimant’s details)
(respondent’s details)
Name of person
Name of person
or company
or company
Trading name
Trading name
(if dif ferent)
(if dif ferent)
Address
Address
State
Postcode
State
Postcode
Phone
Fa x
Phone
Fa x
Email
Email
ABN/ACN
ABN/ACN
Claim details
Claim reference number
Date payment claim served on respondent
Site address
State
Postcode
Project/job details
Contract number
Amount of
payment claim
(if applicable)
Scheduled amount
If the scheduled amount is less than the
claimed amount, the reasons why it is less
(amount Respondent
and reasons for withholding payment should
proposes to pay, if any)
be set out below.
Respondent’s reasons for proposing a lesser amount or withholding payment
Note: In adjudication, the respondent cannot raise any reasons in defence that are not stated here (Insert additional pages if required*)
*Attach copy of supporting documents
This payment schedule has been served on the claimant within 10 business days of receiving the payment claim.
Signed (respondant)
Date
Print Form
Building and Construction Industr y Payments Act (Qld) 2004 – payment schedule form | page 1 of 1
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Parent category: Business