Language / English
Appeal a notice of liability to pay a remediation amount: Form BSA4
What is this form for?
Landlords can use this form to appeal against a notice of liability to pay a remediation amount, or a share of the amount.
You can preview the official document here. We have not yet added simple text entry, browser saving or account saving for this form.
Official form and guidance ↗
Official documents
This publication may use another document format or an online service.
Request conversion of BSA4
Tell us you need this form in an easy digital format. We will receive your request and can contact you about it.
Requesting a form does not mean conversion has started or that it will be ready by a particular date.
Official publication updated 2025-02-03. Catalogue checked 9 November 2026. Follow the official guidance for the form's scope, required documents and filing route. Source: HMCTS. Crown copyright, Open Government Licence v3.0.