Fillable Section 24, Disputes Tribunal Act 1988 (Ministry of Justice New Zealand)

Fill Online, Printable, Fillable, Blank Section 24, Disputes Tribunal Act 1988 (Ministry of Justice New Zealand) Form

Use Fill to complete blank online MINISTRY OF JUSTICE NEW ZEALAND pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Section 24, Disputes Tribunal Act 1988 (Ministry of Justice New Zealand)

On average this form takes 18 minutes to complete

The Section 24, Disputes Tribunal Act 1988 (Ministry of Justice New Zealand) form is 7 pages long and contains:

  • 0 signatures
  • 19 check-boxes
  • 62 other fields

Country of origin: NEW-ZEALAND
File type: PDF

Use our library of forms to quickly fill and sign your Ministry of Justice New Zealand forms online.

BROWSE MINISTRY OF JUSTICE NEW ZEALAND FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
DT CLAIM FORM – 15/06/2020
Claim form
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
• Alternatively, you can always apply (and
pay your filing fee) to the Disputes Tribunal
online by going to
disputestribunal.govt.nz/how-to-make-a-
claim/apply-online/
Payment information
The fee for filing an application is determined by
the amount you are claiming for;
• Less than $2000 the fee is $45
• From $2000-$4999 the fee is $90
• From $5000-$30,000 the fee is $180
You can pay the fee by;
• In person (cash or EFTPOS) if you are
handing your application in over the
counter.
Application fees are non-refundable.
Important information
Request to keep personal details confidential
If you are requesting your personal details to be kept
confidential, please remove any identifying personal
information in this form and any accompanying
documents (with the exception of your Step 1
details). The Ministry of Justice does not check this has
been done and takes no responsibility for the disclosure
of identifying information contained in your application or
supporting documentation.
Copies of the application must be provided
You must provide us copies of your completed
application, so they can be provided to the other parties
to the dispute.
This form will be returned to you if it’s incomplete,
unsigned or undated, if the filing fee isn’t included or you
don’t give us additional copies for all other parties.
Ensure correct party names provided
If you or a respondent are a company or incorporated
society you will need to check the companies register
here: companies-register.companiesoffice.govt.nz/
If you or a respondent are an organisation you will need
to check the above register to make sure you use the
correct legal name for that organisation. On that site you
can access the Companies Register and other registers
(such as for incorporated societies by clicking ALL
REGISTERS at the top right of the website.)
When to use this form
Use this form to make a claim to the Disputes Tribunal.
What you need with your application
To complete your application, you need to send:
• A fully completed form
• The filing fee (Please read the payment information)
• Additional copies of the form and any supporting documents you want to present at the hearing for
each of the other parties (Please read the important information)
Section 24, Disputes Tribunal Act 1988
(Office use only) CIV: ________________________
DT CLAIM FORM – 15/06/2020
Step 1. Who is making the claim?
Applicant type (tick the box that applies to you)
Individual(s)
Partnership
Trust
Incorporated company
Incorporated society
Other
If you are an Individual provide the full names below. Individual includes each trustee of a Trust or if the
individual is trading but is not a company.
Full name
First
Middle
Surname/Family 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? (It will not be given to others if confidentiality has been granted)
Address
Note: if you wish to request confidentiality please complete Step 10 of this form
What is the postal address? (if different from the physical address)
Address
Phone
Day
Mobile
Email
Note: If your address or contact details change, you must notify the Tribunal immediately.
If you or a witness require an interpreter what language and dialect do you speak?
The interpreter will be arranged by the Ministry of Justice free of charge
Language and dialect
Bank Account details
You may supply your bank account number below. This will assist with payment by the other party if an order is
made in your favour by the Tribunal.
Account name
Bank
Branch
Account number
Suffix
DT CLAIM FORM – 15/06/20
Step 2. Claimant insurance and insurer details
Is this a claim that could be covered by your insurer? (Please tick to confirm)
Yes
No
Complete the following if you have been or entitled to be compensated by your insurer for any loss from your
claim:
Insurers full legal name
Insurance claim number
What is their postal address?
Address
Step 3. Who is the claim against?
Respondent type (tick the box that applies to this claim)
Individual(s)
Partnership
Trust
Incorporated company
Incorporated society
Other
Individual contact
If they are an Individual provide the full name below. Individual includes each trustee of a Trust or if the
individual is trading but is not a registered company. (For example - John Doe t/a Johns Lawnmowing)
Full name
First
Middle
Surname/Family name
Organisation contact
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
Contact information
What is the physical address?
Address
What is the postal address? (if different from the physical address)
Address
Phone
Day
Mobile
Email
DT CLAIM FORM – 15/06/20
Step 4. Anyone else you wish to claim against?
Additional Individual Respondent (1)
Full legal name
Address
Phone
Day
Mobile
Email
Additional Individual Respondent (2)
Full legal name
Address
Phone
Day
Mobile
Email
Additional Organisation Respondent (1)
Full legal name
Contact person
Address
Phone
Day
Mobile
Email
Additional Organisation Respondent (2)
Full legal name
Contact person
Address
Phone
Day
Mobile
Email
If you need extra space, please attach a separate sheet to this application
DT CLAIM FORM – 15/06/20
Step 5. Details of the dispute
Even if you are not asking the Tribunal to award you money, it's important to tell us the amount disputed, or the
value involved: Example: monetary value of any work to be done or property returned. You can claim up to a
maximum of $30,000
How much are you seeking to claim or want the Tribunal to award you?
Claim amount $
Please tell us what you claim happened. Include specific details like relevant dates and locations to support your
claim. Ensure there is sufficient detail to fully inform the Tribunal and other parties:
If you need extra space, please attach a separate sheet to this application
Step 6. Why is the respondent still disputing the claim?
How is your claim disputed by the respondent(s)?
If you need extra space, please attach a separate sheet to this application
DT CLAIM FORM – 15/06/20
Step 7. Sign and date this form
Applicant Signature
Date
Step 8. Do a quick check
Additional copies for the other parties
You have answered every question
You have attached any additional documentation to support your claim
You have signed and dated this form; and
When filing in person at your local court registry you must pay the correct filing fee. Only cash or EFTPOS
are accepted.
Step 9. Send in this form
If you are not applying online to the Dispute Tribunal, you must fill in this form and hand it in at any local
courthouse (filing fee payments will be accepted via cash or EFTPOS).
Address: find your local court address at https://www.justice.govt.nz/contact-us/find-us/
Phone: 0800 268 787
DT CLAIM FORM – 15/06/2020
Step 10. Confidentiality
In order for us to consider your request for confidentiality, we need to understand your safety concerns.
Do you want to keep your details confidential?
I want to keep my physical address confidential
I want to keep my email address confidential
I want to keep my phone numbers confidential
If your request for confidentiality is declined, will you still want to proceed with your claim?
Yes
No
Tell us why you want to keep your address and/or contact details confidential from the other parties.
If you need extra space, please attach a separate sheet to this application
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Section 24, Disputes Tribunal Act 1988 (Ministry of Justice New Zealand)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 April 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document