NCAT Consumer and Commercial Division | Request for withdrawal of application Page | 1
CCD-09/2015
Request for withdrawal of application
CONSUMER AND COMMERCIAL DIVISION
ONLY THE APPLICANT OR THEIR REPRESENTATIVE MAY WITHDRAW AN APPLICATION
You should advise the respondent of your intention to withdraw the matter. A notice of order from the Tribunal
withdrawing the application will be forwarded to all parties. There is no time limit for withdrawals, however you should
advise the Tribunal as soon as you become aware that a hearing is no longer required.
1. HEARING DETAILS
NCAT File Number: (eg. RT15/91234)
Hearing Date: Hearing Venue:
2. APPLICANT DETAILS
Full name
Representative’s details (if applicable)
Postal Address
Contact details Daytime telephone
Mobile
Email
MULTIPLE APPLICANTS Complete only if applicable
Where there are multiple applicants, the Tribunal can only withdraw the application if all applicants provide their consent in
writing either on this form or separately.
Do all applicants consent to the application being withdrawn? Yes No
3. RESPONDENT
Has the respondent been advised of your intention to withdraw the application?
YES (provide details) In person By telephone In writing
NO
4. SIGNATURE
Name
Signature
Date
Return this form to NSW Civil and Administrative Tribunal (NCAT)
For NCAT Consumer and Commercial Division Registry locations and contact details visit the NCAT website. For all NCAT
enquires telephone 1300 006 228 or visit www.ncat.nsw.gov.au.
click to sign
signature
click to edit
![]()
