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Let us know that you're ready for a Pathways to Resolution discussion by completing this form. We will talk to you about how we can help and you will learn about your options.

Application form

Information About You

We need your basic contact information in order to correctly identify you and begin your dispute resolution process.

Information About Your ACC Dispute

We require preliminary information about your interactions with ACC in order to begin your dispute resolution process.

Demographic Information

We also collect optional demographic information so we can understand barriers to accessing our services.