Supreme Court Rules 1937—Form 3.13
(see o 76 r 17)
Application for discharge of *interim order/adoption order

In the Supreme Court of the Australian Capital Territory

No		of (year)

Adoption Act 1993

In the adoption of (full name to be given to the child/full name of adopted child)

Application is hereby made to the Court for the discharge of the [*interim order/*adoption order] dated [date] in relation to the adoption of the child mentioned above in favour of—
†	[full name, address and occupation of each proposed adoptive parent]
†	[full name, address and occupation of each adoptive parent]

This application is made—
*personally by [full name] in [*his/*her] capacity as ‡[state capacity in which application is made].
*by [name(s)], solicitor(s), on behalf of [full name] in [*his/*her] capacity as ‡[state capacity in which application is made].
Date:
Signature:
Address for service:
*Strike out where inapplicable.
†	Insert where applicable
‡
Note 1	In the case of an application for the discharge of an interim order, state the nature of the relationship of the person seeking the discharge to the child who is the subject of the order, or the capacity in which that person is otherwise interested in seeking the discharge of the order.
Note 2	In the case of an application for the discharge of an adoption order, state whether the application is made by (or on behalf of) the Minister, the chief executive responsible for adoption, the Community Advocate, the adopted child, an adopted parent or a birth parent.

Endnote
1	This form was originally in the Supreme Court Rules 1937.  Under the Court Procedures Act 2004 A2004-59, pt 8, the form became a form approved under that Act. 

©  Australian Capital Territory 2005