For more information visit www.justice.govt.nz/tribunals
Customs Appeal Authority
Z
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Notice of Appeal
What is this form for?
Use this ‘Notice of Appeal’ form to lodge an appeal against a New Zealand Customs Service decision.
This ‘Notice of Appeal’ will tell the New Zealand Customs Service and the Appeal Authority the
grounds for your appeal.
In accordance with Schedule 8, clause 11
of the Customs and Excise Act 2018, a filing fee of $410
must accompany this ‘Notice of Appeal’.
Important Information 1. Please print in CAPITAL LETTERS
2. Please refer to ‘A Guide to Making an Appeal’ when completing this form.
3. You must return this ‘Notice of Appeal’, all relevant documents and the $410 filing fee by post, or
in person to the Customs Appeal Authority address at the end of this form.
Please fill in all sections below:
Part 1: Appellant
What is your name?
Surname(s)
First name(s)
Middle name(s)
Where do you live?
Flat/house number Street name
Suburb City/town Post code
How can we contact you?
Daytime contact phone number ( ) Mobile
Email address
If you require an interpreter what language do you speak?
If you give us your mobile number or email address we can use these to send you text messages or emails regarding your case
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Part 2: Legal advisor or agent
What is the name of your legal advisor or agent? (If you have one)
What is your address for service of documents?
Post code
What are your legal advisor or agent’s contact details?
Daytime contact phone number ( ) Mobile
Email address
If you give us your agent’s mobile number or email address we can use these to send text messages or emails regarding your case
Part 3: Decision appealed against
What is the name of the person who made the decision you are appealing (if known)?
Name
What is the entry number that relates to the goods in question?
Number
The Appellant appeals the decision of the Chief Executive of the New Zealand Customs Service, made on:
Date: / / (day / month / year)
The decision of the Chief Executive stated that: (please outline)
Part 4: The facts of the case
The appellant relies on the following facts in support of this appeal: (If you need more space please attach a separate sheet)
Part 5: Grounds of appeal
The following are the grounds on which the appellant bases this appeal: (If you need more space please attach a separate sheet)
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Authority Contact Details
Ph: (04) 462 6660
Fax: (04) 462 6686
Customs Appeal Authority
Tribunals Unit
DX SX 11159, Wellington
Email: tribunals@justice.govt.nz
Level 1, 86 Customhouse Quay, Wellington
www.justice.govt.nz/tribunals/customs-appeal-authority
Part 6: List of documents
The appellant relies on the following documents: (If you need more space please attach a separate sheet)
Appellant / Agent’s signature) Date / / (day / month / year)
Part 7: Checklist
Before you submit this form please check that:
You have answered every question
You have signed and dated this form
You have attached all relevant documents
You have included your $410 filing fee or you have attached your ‘Application for Waiver of Fees’
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