Magistrates Court Rules 1932—Form 10
(see s 12 (2) (c) and s 14 (2) (b))

MAGISTRATES COURT
AUSTRALIAN CAPITAL TERRITORY
CLAIM FOR EXPENSES BY WITNESS
	Court Ref: ........….
	File No:    .........….
I ................................................…………………………………………..
travelled from  ....................................................  to the Magistrates Court and from the Magistrates Court 
to ................................................................  
by [means of travel]  .......................................  
[number of journeys]  .....................................  
and claim the reasonable expenses of travel to give evidence of 
$ .......................                                              Receipts /tickets attached
[signed]........................................................              [date]...... /...... / 20.....

RECEIPT
I have received the sum of $.....................   being the expenses of travel to give evidence.
[signed]........................................................              [date] ..... /...... / 20.....

Endnotes
1	This form was originally in the Magistrates Court Act 1930 (the authorising Act), schedule 1.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the authorising Act and became a form approved under section 256 of that Act (see amdts 1.2764 and 1.2769). 
2	Under the Court Procedures Act 2004 A2004-58, pt 8, this form became a form approved under that Act.
3	This republication includes amendments made under the Legislation Act, part 11.3 (Editorial changes).

©  Australian Capital Territory 2005