Application for review of a notice or penalty
Please fill out all sections of this form if you want us to carry out a review of our
decision to issue one of the following types of notice or penalty:
•
Compliance notice
•
Unpaid contributions notice
•
Third party compliance notice
•
Fixed penalty notice
•
Escalating penalty notice
•
Prohibited recruitment compliance notice
•
Prohibited recruitment penalty notice
To fill in the form, please print it and complete Parts 1 to 4 by hand, using black
pen, then sign and date Part 5. Once completed, the form can be scanned and
emailed to: CandE@autoenrol.tpr.gov.uk or posted to: Automatic enrolment
review team, The Pensions Regulator, PO Box 16871, Birmingham B23 3LG.
For more information on making a review application, please visit
uk/challenge-notice.
We may not be able to consider your review application if you do not
complete all sections of this application form.
Part 1. Statutory notice to be reviewed
Notice number
Date of issue
Employer/organisation name to
which the notice was addressed