DT APPLICATION FOR REHEARING 5/02/20
Application for rehearing
DISPUTES TRIBUNAL
Completing this form
Print clearly in CAPITALS
Use a black pen or blue pen to complete
this form
Answer every question on the form unless
the instructions tell you otherwise
Payment information
There is no filing fee for your rehearing application.
After submitting your application
Filing this application does not affect any
enforcement action, unless the Tribunal decides to
make a stay for enforcement.
Important information
You must provide reasons and evidence to support
your application.
Your application must be filed within 20 working
days of the Disputes Tribunal order (or approval of
agreed settlement or variation of term of agreed
settlement).
If an order by the Tribunal requires you make a
payment within that 20 working day period for
filing, you should file this application as early as
possible before or after the order requires you to
make payment.
If you are filing after that 20 working day period
for filing, you will need to write to the Disputes
Tribunal seeking permission for your application to
be considered and explaining your reasons for
filing late.
More information can be found at
disputestribunal.govt.nz/
When to use this form
Use this form to apply for a rehearing of your dispute. An application for rehearing can only be made after a
Disputes Tribunal order (or approval of agreed settlement or variation of term of agreed settlement).
Please note that the fact you disagree with the Tribunal’s decision is not a valid ground to apply for a
rehearing.
What you need with your application
To complete your application, you need to send:
A fully completed form
Rule 23, Disputes Tribunal Rules 1989
(Office use only) CIV: ________________________
(Office use only) CIV:______________________
DT APPLICATION FOR REHEARING 5/02/2020
Step 1. Give us your details
Are you an individual or organisation? (Please tick ONE to confirm)
Organisation
If you are an Individual provide the full name below. Individual includes each trustee of a Trust (name all
trustees) or if the individual is trading but not under a registered company.
Full name
If you are an Organisation provide the full legal name and contact person below. Organisation includes an
incorporated company or other incorporated entity (for example - an incorporated society/charitable trust).
Full legal name
Contact person
What is the physical address?
Address
What is the postal address? (if different from the physical address)
Address
Phone
Day
Mobile
Email
Step 2. First respondent details
Are they an individual or organisation? (Please tick ONE to confirm)
Organisation
If they are an Individual provide the full name below. Individual includes each trustee of a Trust (name all
trustees) or if the individual is trading but not under a registered company.
Full name
If they are an Organisation provide the full legal name and contact person below. Organisation includes an
incorporated company or other incorporated entity (for example - an incorporated society/charitable trust).
Full legal name
Contact person
What is their physical address?
Address
DT APPLICATION FOR REHEARING 5/02/20
What is their postal address? (if different from the physical address)
Address
Phone
Day
Mobile
Email
Step 3. Second respondent details
Are they an individual or organisation? (Please tick ONE to confirm)
Organisation
If they are an Individual provide the full name below. Individual includes each trustee of a Trust (name all
trustees) or if the individual is trading but not under a registered company.
Full name
If they are an Organisation provide the full legal name and contact person below. Organisation includes an
incorporated company or other incorporated entity (for example - an incorporated society/charitable trust).
Full legal name
Contact person
What is their physical address?
Address
What is their postal address? (if different from the physical address)
Address
Phone
Day
Mobile
Email
If you need extra space for additional respondents, please attach a separate sheet with their information to this
application
Step 4. Decision details
Date of the decision
/
/
(day/month/year)
Place of hearing
CIV number
DT APPLICATION FOR REHEARING 5/02/20
Step 5. Grounds
Are you applying outside of the 20-working day period for a rehearing?
Yes
No
If yes, please provide your reasons for your application being filed late and state the reasons you are applying for
a rehearing below.
If no, then please just state your reasons for applying for a rehearing below.
If you need extra space, please attach a separate sheet to this application
Step 6. Sign and date this form
Signature
Date
Step 7. Send in this form
You can fill in this form and hand it in at your local court or post to:
Ministry of Justice
SX10042
Wellington
New Zealand
Address: find your local court address at https://www.justice.govt.nz/contact-us/find-us/
Phone: 0800 268 787
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