For more information visit www.justice.govt.nz/tribunals
Disputes Tribunal
Page 1 For more information visit www.justice.govt.nz/tribunals DT 07/11 - 7
Form 7: Request to Enforce Work Order
What is this form for? Use this form to make a request for the enforcement of a work order.
Completing and 1. Fill in all sections below.
this form submitting 2. Print in CAPITAL LETTERS.
3. Check, before submitting this form, that it is complete and that you have signed and dated it.
4. You must submit a copy of your request and any relevant supporting evidence by post or in person to
the District Court where your original Disputes Tribunal claim was heard.
Part 1: Applicant (individual or organisation)
Individual’s family name(s):
Individual’s first name(s):
Organisation’s name (if a corporation and unincorporated body of persons, for example, an individual’s employer):
Attention (organisation’s contact):
Physical address (A physical address is required)
Street or road (number and name):
Rural delivery number:
Suburb:
City, town or district:
Postcode:
Postal address (if different from physical address)
Street or road (number and name):
Rural delivery number:
Suburb:
City, town, or district:
Postcode:
Contact details
Daytime telephone number: ( ) Mobile telephone number:
Email address:
CIV:
(Office use only)
